Evidence map›Paper›PMID 40739469›Full record

Trial reportBMC anesthesiology2025

Effect of nasal mask oxygenation on incidence of hypoxemia during gastroscopy with propofol sedation in patients at risk of hypoxemia: a prospective randomized controlled study.

Wenlong Yan, Liang Yan, Wenjun Meng, Jianyue Cai, Meiping Qian, Yan Zhang, Juan Li, Shuhua Shu, Fang Kang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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.

Wenlong Yan *Department of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Liang Yan *Graduate School, Bengbu Medical University, Bengbu, 233000, China.
Wenjun MengDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Jianyue CaiDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Meiping QianDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Yan ZhangDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Juan LiDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China.
Shuhua ShuDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China. sshhf@189.cn.
Fang KangDepartment of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230036, China. kangfang199771@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoxemia is a prevalent complication during sedated gastroscopy and may result in significant adverse outcomes. We aimed to determine if nasal mask oxygenation could decrease the incidence of hypoxemia compared with standard oxygenation in patients with obesity or obstructive sleep apnea (OSA) undergoing gastroscopy under deep sedation.

methodsIn a prospective randomized study, 120 patients aged 18 to 70 years, diagnosed with obesity or OSA, who underwent sedated gastroscopy, were randomized into two groups: Group M (nasal mask oxygenation) or Group C (nasal cannula oxygenation) from June 2024 to January 2025. The primary outcome was the incidence of hypoxemia (75%≤SpO

resultsNasal mask oxygenation decreased the incidence of hypoxemia from 32.8 to 8.5% ( P < 0.001), subclinical respiratory depression from 48.3 to 20.3% ( P < 0.001), and severe hypoxemia from 13.8 to 1.7% ( P < 0.001). No significant differences in other sedation-related adverse events were observed between the two groups.

conclusionIn patients with obesity or OSA, nasal mask oxygenation during gastroscopy with propofol sedation significantly reduced the incidences of hypoxemia, subclinical respiratory depression, and severe hypoxemia without increasing other adverse events.

trial registrationChinese Clinical Trial Registry (ChiCTR2400085162).

Indexed as

Deep SedationGastroscopyHypoxiaMasksOxygen Inhalation TherapyPropofolAdolescentAdultAgedFemaleHumansHypnotics and SedativesIncidenceMaleMiddle AgedObesityHypnotics and SedativesPropofolDeep sedationGastroscopyHypoxemiaPatients with obesity

Identifiers

PMID40739469
PMCPMC12308975

What OpenQuestion holds

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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.