Evidence map›Paper›PMID 40727486›Full record

Trial reportRisk management and healthcare policy2025

High-Flow Nasal Oxygen Prolongs Safe Apnea Time in Obstructive Sleep Apnea Patients Undergoing General Anesthesia: A Randomized Controlled Trial.

Guiyu Lei, Siliu Yang, Lili Wu, Yue Yin, Chunhua Xi, Qingwen Yang, Guyan Wang

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Risk management and healthcare policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Guiyu LeiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Siliu YangDepartment of Anesthesiology, Beijing Dongcheng Maternal and Child Health Care Hospital, Beijing, People's Republic of China.
Lili WuDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Yue YinDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Chunhua XiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Qingwen YangDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Guyan WangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0001-6957-6356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with obstructive sleep apnea (OSA) are at high risk for rapid oxygen desaturation during anesthesia induction. Apneic oxygenation with high-flow nasal oxygen (HFNO) has proven effective in prolonging safe apnea time in various patient populations. However, evidence for the efficacy of HFNO in OSA patients remains limited. This study aimed to evaluate whether the use of HFNO during anesthesia induction in OSA patients prolongs safe apnea time. Methods: In this prospective randomized clinical trial, all participants underwent standardized pre-oxygenation and anesthesia induction. During the apneic period, oxygen was delivered either via HFNO at 60L/min (HFNO group) or with the nasal cannula left in place but disconnected from the oxygen source (control group, no supplemental oxygen). The primary outcome of this study was the time to peripheral oxygen desaturation (SpO Results: The HFNO group demonstrated a significantly prolonged safe apnea time compared to the Control group (18.1 [12.1,18.8] vs 4.2 [2.5,6.3] minutes; Conclusion: In this randomized controlled trial, HFNO significantly prolongs safe apnea time and enhances oxygenation during anesthesia induction in OSA patients. These findings highlight the potential of HFNO to improve perioperative airway management and patient safety in this high-risk population.

Indexed as

anesthesia inductionapnea timedifficult airway managementHFNOOSA

Identifiers

PMID40727486
PMCPMC12301247

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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.