Evidence map›Paper›PMID 40771463›Full record

ArticleFrontiers in medicine2025

High-flow nasal cannula oxygenation reduces desaturation during percutaneous radiofrequency ablation under moderate sedation.

Jiangling Wang, Qicheng Wu, Zewu Ding, Wen Zhang, Kangjie Xie, Xiaochun Mao, Xiangming Fang

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05212064 (High-flow Nasal Cannula Oxygen Therapy and Hypoxia/Desaturation During Percutaneous Radiofrequency Ablation Under Moderate Sedation), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT05212064 nacompletednot on this map

High-flow Nasal Cannula Oxygen Therapy and Hypoxia/Desaturation During Percutaneous Radiofrequency Ablation Under Moderate Sedation: A Randomized Clinical Trial

TypeinterventionalSponsorZhejiang Cancer HospitalRan2022 to 2023Enrolled100ConditionsPropofol, Hypoxia, Sedation Complication, Desaturation of BloodArmshigh-flow oxygen nasal cannula therapy, nasal cannula oxygen therapy
3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jiangling WangDepartment of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Qicheng WuDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Zewu DingDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Wen ZhangDepartment of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Kangjie XieDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Xiaochun MaoDepartment of Thyroid Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Xiangming FangDepartment of Anesthesiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The majority of percutaneous radiofrequency ablation (PRFA) procedures for liver cancer are performed under ultrasound guidance and with moderate sedation. Oxygen desaturation is one of the most common and concerning adverse events that can be challenging to prevent during this procedure. High-flow nasal cannula (HFNC) oxygen therapy is effective in delivering high oxygen flow rates. This study aimed to evaluate the safety of HFNC oxygen therapy in preventing oxygen desaturation in patients undergoing ultrasound-guided PRFA with moderate sedation. Methods: In this prospective, randomized controlled study, 100 patients who underwent ultrasound-guided PRFA with moderate sedation were randomly divided into two groups: a low-flow oxygen group (6 L/min via an HFNC) and a high-flow oxygen group (40 L/min via an HFNC). The primary outcome was oxygen desaturation. Other adverse events were also recorded. Results: Patients who received high-flow oxygen (40 L/min) had a lower incidence of mild desaturation (0% vs. 6%, Conclusion: In patients undergoing ultrasound-guided PRFA with moderate sedation, high-flow oxygen therapy at 40 L/min through HFNC therapy resulted in higher average oxygen saturation levels and a reduced incidence of oxygen desaturation-particularly moderate and severe desaturation-compared to low-flow oxygen therapy at 6 L/min. Clinical trial registration: Identifier NCT05212064.

Indexed as

desaturationHFNCliver cancermoderate sedationoxygen saturationPRFAsedation

Identifiers

PMID40771463
PMCPMC12325212

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