Evidence map›Paper›PMID 40257711›Full record

ArticleJA clinical reports2025

High-flow oxygenation therapy for a sedated elderly frail patient with hiccups undergoing transcatheter aortic valve implantation.

Ryosuke Osawa, Takero Arai, Takashi Asai

Abstract read
In one paragraph

Article in JA clinical reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Ryosuke Osawa *Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2 - 1- 50 Minami-Koshigaya, Koshigaya, Saitama, 343 - 8555, Japan. r-oosawa@dokkyomed.ac.jp.ORCID http://orcid.org/0009-0009-5249-4800
Takero Arai *Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2 - 1- 50 Minami-Koshigaya, Koshigaya, Saitama, 343 - 8555, Japan.
Takashi AsaiDepartment of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2 - 1- 50 Minami-Koshigaya, Koshigaya, Saitama, 343 - 8555, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation (TAVI) can be performed under sedation, but body movements may lower the efficacy of the procedure and may increase the risk of complications, such as cardiac tamponade. Additional sedatives and analgesics may be required to prevent body movements; this would increase the risk of upper airway obstruction and of respiratory depression. We report a frail patient with hypoxemia and hiccups, in whom high-flow nasal oxygenation facilitated TAVI by effectively inhibiting body movements and respiratory complications. CASE PRESENTATION: In an 82-year-old patient with severe aortic stenosis, heart failure, hypoxemia, and hiccups, TAVI was planned under sedation with dexmedetomidine, fentanyl, and ketamine. High-flow nasal oxygenation effectively prevented hiccups and associated body movements, and prevented upper airway obstruction and respiratory depression, during TAVI.

conclusionsHigh-flow nasal oxygenation therapy is potentially useful during cardiac catheterization procedure under monitored anesthesia care, in elderly frail patients with reduced cardiopulmonary function.

Indexed as

Conscious sedationHigh-flow nasal oxygenation therapyTranscatheter aortic valve implantation

Identifiers

PMID40257711
PMCPMC12011683

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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.