Evidence map›Paper›PMID 38866418›Full record

ArticleRespiratory care2024

Effect of High-Flow Nasal Cannula Flow on Intrapharyngeal Pressure During Fiberoptic Bronchoscopy Under Deep Sedation.

Jie Li, Bin Liu, Lin Gao, Na Li, Xiao-Zhong Yuan, Yi-Xuan Zhu, Kang Deng

Abstract read
In one paragraph

Article in Respiratory care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

7 authors.

Jie LiDepartment of Anesthesiology and Pain Research Center, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China; and Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, China.
Bin LiuDepartment of Anesthesiology and Pain Research Center, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China; and Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, China.
Lin GaoDepartment of Anesthesiology and Pain Research Center, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China; and Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, China.
Na LiDepartment of Respiratory Medicine, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China.
Xiao-Zhong YuanDepartment of Anesthesiology and Pain Research Center, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China.
Yi-Xuan ZhuJiaxing University College of Medicine, Zhejiang Province, China.
Kang DengDepartment of Anesthesiology and Pain Research Center, The Affiliated Hospital of Jiaxing University or The First Hospital of Jiaxing, Jiaxing, Zhejiang Province, China. jxmzdk@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe flow reaching the vocal folds may be lower than that at the output of high-flow nasal cannula (HFNC) system. This could be due to upper-respiratory obstruction, oxygen leakage, or other factors. The objective of this study was to observe the effect of flow through a nasopharyngeal airway on intrapharyngeal pressure (IPP) in subjects undergoing fiberoptic bronchoscopy (FOB).

methodsPatients scheduled for FOB were invited to participate. Measurements were performed at flows of 0-60 L/min; the subjects wore WN-N95 folding medical protective masks (N95) and either underwent FOB or not. IPP at each flow was recorded following 15 s of ventilation, and the cross-sectional area (CSA) of the gastric sinus was measured before and after FOB. Hypoxemia, reflux aspiration, and other pertinent events were recorded.

resultsSixty subjects undergoing FOB at the Affiliated Hospital of Jiaxing University participated in this trial from October 2022-September 2023. IPP increased significantly with an increase in flow and also increased after placing the N95 mask with the same flow (

conclusionsHFNC can provide effective oxygen therapy for people undergoing FOB, and increases in IPP with flow in the range of 0-60 L/min may not increase the risk of reflux aspiration.

Indexed as

BronchoscopyCannulaDeep SedationFiber Optic TechnologyAdultAgedFemaleHumansHypoxiaMaleMiddle AgedOxygen Inhalation TherapyPharynxPressurefiberoptic bronchoscopygastric sinus cross-sectional areahigh-flow nasal cannulaintrapharyngeal pressurenasopharyngeal airwayreflux aspiration

Identifiers

PMID38866418
PMCPMC11469016

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.