Evidence map›Paper›PMID 37060038›Full record

ArticlePerioperative medicine (London, England)2023

High-flow nasal oxygen vs. standard oxygen therapy for patients undergoing transcatheter aortic valve replacement with conscious sedation: a randomised controlled trial.

S Scheuermann, A Tan, P Govender, M Mckie, J Pack, G Martinez, F Falter, S George, A A Klein

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Perioperative medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059728 (Uso de Lentillas de Alto Flujo en Procedimientos de sustitución de válvula aórtica transcatéter. Impacto en Las Complicaciones Respiratorias y Biomarcado- Res y Resultados clínicos. TAVR-Highflow), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
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.

NCT07059728 narecruitingnot on this mapstarted 2025, after this paper: background citation

Uso de Lentillas de Alto Flujo en Procedimientos de sustitución de válvula aórtica transcatéter. Impacto en Las Complicaciones Respiratorias y Biomarcado- Res y Resultados clínicos. TAVR-Highflow

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2025 to 2027Enrolled452ConditionsAortic Stenosis Treated With TAVI, Sedation, Aged, HemodynamicsArmsOxygen therapy during sedation provided via high nasal cannulae (60L/min at 60% FiO2), Oxygen therapy during sedation delivered via nasal cannulae at 5L/min
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

S ScheuermannDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
A TanDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK. aileen.tan@doctors.org.uk.ORCID http://orcid.org/0000-0002-5171-7883
P GovenderDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
M MckieMRC Biostatistics Unit, University of Cambridge, Cambridge, UK.
J PackDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
G MartinezDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
F FalterDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
S GeorgeDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
A A KleinDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
Papworth Hospital · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgery is becoming more common and transfemoral transcatheter aortic valve replacement is offered to older patients with multiple comorbidities. Sternotomy is not required but patients must lie flat and still for up to 2-3 h. This procedure is increasingly being performed under conscious sedation with supplementary oxygen, but hypoxia and agitation are commonly observed.

methodsIn this randomised controlled trial, we hypothesised that high-flow nasal oxygen would provide superior oxygenation as compared with our standard practice, 2 l min

resultsA total of 72 patients were recruited. There was no difference in change in pO

conclusionThis study has demonstrated that high flow, compared with standard oxygen therapy, does not improve arterial oxygenation over the course of the procedure. There are suggestions that it may improve the secondary outcomes studied.

trial registrationInternational Standard Randomised Controlled Trial Number (ISRCTN) 13,804,861. Registered on 15 April 2019. https://doi.org/10.1186/ISRCTN13804861.

Indexed as

Cardiac surgeryCardiologyHigh-flow nasal oxygenOxygenPeri-operative careSedation

Identifiers

PMID37060038
PMCPMC10103409
OpenAlexW4365515101

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.