Evidence map›Paper›PMID 41372836›Full record

Trial reportBMC anesthesiology2025

Comparative efficacy of modified nasopharyngeal airway and nasal cannula for oxygenation in deeply sedated patients undergoing endoscopic retrograde cholangiopancreatography: a randomized controlled trial.

Minna Guo, Jun Lu, Bo Li, Lianghao Hu, Lulong Bo

Abstract readRandomized Controlled TrialComparative Study
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 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. Trial
  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

5 authors.

Minna Guo *Faculty of Anaesthesiology, Changhai Hospital, Naval Medical University, No. 168 Changhai Road, Shanghai, 200433, China.
Jun Lu *Faculty of Anaesthesiology, Changhai Hospital, Naval Medical University, No. 168 Changhai Road, Shanghai, 200433, China.
Bo Li *Faculty of Anaesthesiology, Changhai Hospital, Naval Medical University, No. 168 Changhai Road, Shanghai, 200433, China.
Lianghao HuDepartment of Gastroenterology, Changhai Hospital, Naval Medical University, No. 168 Changhai Road, Shanghai, 200433, China. lianghao-hu@smmu.edu.cn.
Lulong BoFaculty of Anaesthesiology, Changhai Hospital, Naval Medical University, No. 168 Changhai Road, Shanghai, 200433, China. bartbo@smmu.edu.cn.

Funding

National Nature Science Foundation of China 82270679
6 · The paper itself

Abstract

backgroundHypoxemia frequently occurs during deeply sedated endoscopic retrograde cholangiopancreatography (ERCP). Modified nasopharyngeal airway (mNPA) is a nasopharyngeal cannula with a ventilation adapter connected to an anesthesia circuit for respiratory support. This single-blind, two-group, randomized controlled trial aimed to evaluate the efficacy and safety of mNPA relative to nasal cannula (NC) in patients undergoing ERCP sedation.

methodsAdult participants scheduled for elective ERCP under sedation were randomly assigned in a 1:1 ratio to receive either mNPA or NC for oxygen supply. Both groups were administered 1.5 to 2.0 mg/kg intravenous propofol and 5 to 10 µg sufentanil. The primary outcome was hypoxemia (SpO

resultsIn total, 596 patients were enrolled without dropouts or missing data. Those receiving mNPA (N = 295) had a significantly lower incidence of hypoxemia than those receiving NC oxygen supply (N = 301; 7.1% vs. 13.6%, P = 0.009). The incidence of SpO

conclusionsThe utilization of mNPA for oxygen delivery during ERCP sedation led to a marked decrease in hypoxemia incidence and associated procedural disruptions. These finding offer valuable insights for airway management during deep sedation for ERCP anesthesia management and warrant consideration in clinical practice.

trial registrationChictr.org.cn ChiCTR2300075730 (date of registration: September 14, 2023).

Indexed as

Airway ManagementCannulaCholangiopancreatography, Endoscopic RetrogradeDeep SedationHypoxiaOxygen Inhalation TherapyAdultAgedFemaleHumansMaleMiddle AgedNasopharynxOxygenSingle-Blind MethodOxygenAdverse outcomesEndoscopyERCPHypoxemiaNasal cannulaNasopharyngeal airwaySedationSupplemental oxygen

Identifiers

PMID41372836
PMCPMC12888284

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.