Evidence map›Paper›PMID 36303179›Full record

Trial reportBMC pulmonary medicine2022

Incidence of oxygen desaturation using a high-flow nasal cannula versus a facemask during flexible bronchoscopy in patients at risk of hypoxemia: a randomised controlled trial.

Wen Zhang, Jiang-Ling Wang, Shuang Fu, Jia-Ming Zhou, Ye-Jing Zhu, Shu-Nv Cai, Jun Fang, Kang-Jie Xie, Xin-Zhong Chen

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Oxygenation during Endobronchial Ultrasound: Where do we stand?Sultan Qaboos University medical journal · 2024
    Article
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Wen ZhangDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Jiang-Ling WangDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Shuang FuDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Jia-Ming ZhouDepartment of Endoscopy, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Ye-Jing ZhuDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Shu-Nv CaiDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Jun FangDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Kang-Jie XieDepartment of Anesthesiology, Research Center for Neuro-Oncology Interaction, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, No.1 Banshan East Road, Gongshu District, 310022, Hangzhou, Zhejiang, China. xiekj@zjcc.org.cn.
Xin-Zhong ChenDepartment of Anaesthesia, Women's Hospital, Zhejiang University School of Medicine, Xueshi Road #1, Shangcheng District, 310006, Hangzhou, Zhejiang, China. chenxinz@zju.edu.cn.

Funding

the Basic Public Welfare Research Project in Zhejiang Province LGD20H010001
6 · The paper itself

Abstract

backgroundPatients with obstructive sleep apnoea (OSA), male sex, obesity, older age or hypertension are prone to hypoxemia during flexible bronchoscopy. This study investigated whether using a high-flow nasal cannula (HFNC) could reduce the incidence of oxygen desaturation during bronchoscopy under deep sedation in patients at risk of hypoxemia.

methodsA total of 176 patients at risk of hypoxemia who underwent flexible bronchoscopy under deep sedation were randomly assigned to two groups: the HFNC group (humidified oxygen was supplied via a high-flow nasal cannula at a rate of 60 L/min and a concentration of 100%, n = 87) and the facemask group (oxygen was supplied via a tight-fitting facemask at a rate of 6 L/min and a concentration of 100%, n = 89).

resultsOxygen desaturation occurred in 4 (4.6%) patients in the HFNC group and 26 (29.2%) patients in the facemask group (P < 0.001). The facemask group required more jaw thrust manoeuvres than the HFNC group (43[48.3%] vs. 5[5.7%], P < 0.001). 8 patients (9.0%) in the facemask group and none in the HFNC group required bag-mask ventilation (P = 0.012).

conclusionThe use of an HFNC can reduce the incidence of oxygen desaturation and the requirement for airway intervention in patients at risk of hypoxemia during flexible bronchoscopy under deep sedation.

trial registrationwww.chiCTR.org.cn Identifier: ChiCTR2100044105. Registered 11/03/2021.

Indexed as

CannulaNoninvasive VentilationBronchoscopyHumansHypoxiaIncidenceMaleMasksOxygenOxygen Inhalation TherapyOxygenBronchoscopyDeep sedationHigh-flow nasal cannulaOxygen desaturation

Identifiers

PMID36303179
PMCPMC9615168

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.