SynthesisJournal of anesthesia2026
Efficacy of BiPAP/CPAP versus COT in patients with obstructive sleep apnea or obesity undergoing sedated gastroenteroscopy: a meta-analysis.
Synthesis in Journal of anesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
4 authors.
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Abstract
Patients with obstructive sleep apnea or obesity are at high risk for hypoxemia during sedated gastroenteroscopy. This meta-analysis compares the efficacy of bilevel or continuous positive airway pressure versus conventional oxygen therapy in preventing hypoxemia and reducing airway interventions. We systematically searched PubMed, Embase, Cochrane Library, and Web of Science for RCTs up to September 2025. Eight RCTs (1012 patients) were included; all controls received conventional oxygen therapy. Compared to conventional oxygen therapy, bilevel or continuous positive airway pressure was associated with a significant reduction in hypoxemia (OR 0.26, 95% CI 0.16-0.42), severe hypoxemia (OR 0.15, 95% CI 0.05-0.39), and need for jaw lift (OR 0.21, 95% CI 0.14-0.32), with no significant difference in nausea/vomiting. Subgroup analyses consistently favored bilevel or continuous positive airway pressure. The simplified device SuperNO
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