Evidence map›Paper›PMID 40846332›Full record

ArticleBMJ open2025

Effect of high-flow nasal oxygen therapy on cardiac cycle efficiency in coronary artery disease patients undergoing endoscopy: study protocol for randomised controlled trial.

Fang Xie, Mu Jin, Tingting Ma, Xiaorui Zhou, Sheng Wang

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 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. 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

5 authors.

Fang XieDepartment of Anesthesiology, Beijing An Zhen Hospital, Chaoyang-qu, Beijing, China.ORCID http://orcid.org/0000-0001-8882-954X
Mu JinDepartment of Anesthesiology, Beijing An Zhen Hospital, Chaoyang-qu, Beijing, China.ORCID http://orcid.org/0000-0001-7926-2561
Tingting MaDepartment of Anesthesiology, Beijing An Zhen Hospital, Chaoyang-qu, Beijing, China.ORCID http://orcid.org/0009-0003-1711-1233
Xiaorui ZhouDepartment of Anesthesiology, Beijing An Zhen Hospital, Chaoyang-qu, Beijing, China.ORCID http://orcid.org/0000-0003-1173-0036
Sheng WangDepartment of Anesthesiology, Beijing An Zhen Hospital, Chaoyang-qu, Beijing, China shengwang_gz@163.com.ORCID http://orcid.org/0000-0003-0065-0102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with coronary artery disease (CAD) have diminished tolerance for gastrointestinal endoscopy procedures (upper/lower) performed under deep sedation, resulting in increased incidence rates of hypotension and myocardial ischaemia among these patients. Avoiding hypoxemia caused by deep sedation and increased oxygen consumption caused by inadequate sedation is particularly important in these patients. Based on recent data indicating that high-flow nasal oxygen therapy (HFNO) is beneficial for preventing hypoxaemia in high-risk patients, this study investigated whether HFNO can improve myocardial oxygen supply during gastrointestinal endoscopy under deep sedation. Using cardiac cycle efficiency (CCE) data from MostCare to assess myocardial oxygen supply-demand balance in patients with CAD, we tested the hypothesis that compared with standard oxygen therapy (SOT), HFNO can improve CCE in patientswith CAD during gastrointestinal endoscopy under deep sedation. METHODS AND ANALYSIS: This single-centre randomised controlled trial will compare the effects of HFNO and SOT among CAD patients during gastrointestinal endoscopy under deep sedation administered by anaesthesiologists. 90 patients will be randomly allocated in a 1:1 ratio to two parallel groups. The primary outcome will be the difference in CCE between the two groups during sedation. Secondary outcomes will include the incidence of hypotension; the occurrence of hypoxemia; brain natriuretic peptide, troponin I and lactate levels at 6-12 hours postoperation; frequency of patient agitation episodes; intraoperative adverse memory recall; need for mask ventilation or any airway intervention; duration of sedation; HFNO-related adverse events; and MostCare haemodynamic parameters other than the primary outcome. ETHICS AND DISSEMINATION: This study has been approved by the Ethics Committee of Beijing Anzhen Hospital, Capital Medical University (KS2024066), and patients will be included after providing informed consent. The results will be submitted to a peer-reviewed journal for publication. TRIAL REGISTRATION NUMBER: ChiCTR2400086887.

Indexed as

Coronary Artery DiseaseEndoscopy, GastrointestinalHypoxiaOxygen Inhalation TherapyAdultDeep SedationFemaleHumansHypotensionMaleMiddle AgedRandomized Controlled Trials as TopicAdult anaesthesiaAnaesthesia in cardiologyCoronary heart diseaseEndoscopyRandomized Controlled Trial

Identifiers

PMID40846332
PMCPMC12374681

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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.