Evidence map›Paper›PMID 42298391›Full record

Trial reportBMC anesthesiology2026

High-flow nasal oxygen versus conventional nasal cannula for gastroscopy with sedation in elderly patients at high altitudes: a partially-blinded randomized controlled trial in Tibet, China.

Jianlei Zhang, Ningbo Cheng, Bianbawangdui, Tinley, Huaquan Luo, Tashiyonten, Dou Wang, Jingwen Wang, Xin Yin

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jianlei Zhang *Department of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
Ningbo Cheng *Department of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
BianbawangduiDepartment of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
TinleyDepartment of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
Huaquan LuoDepartment of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
TashiyontenDepartment of Anesthesiology, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
Dou WangDepartment of Gastrointestinal endoscopy, People's Hospital of Shigatse City, Shigatse, Tibet, 857000, China.
Jingwen WangDepartment of Oncology, Huadong Hospital, Fudan University, No 221, West Yan'an Road, Shanghai, 200040, China. wangjingwen_xiaobai@fudan.edu.cn.
Xin YinDepartment of Anesthesiology, Huadong Hospital, Fudan University, No 221, West Yan'an Road, Shanghai, 200040, China. 17231280042@fudan.edu.cn.

Funding

Chinese Red Cross Foundation CRCF-YXFN-202201123Natural Science Foundation of Tibet Autonomous Region XZ2023ZR- ZY44 (Z)Shanghai Municipal Health Commission 202140515Shigatse Science and Technology Bureau RKZ2024ZRLH-002
6 · The paper itself

Abstract

backgroundIn high-altitude environments with hypobaric hypoxia, chronic hypoxia can affect organs. This study aimed to determine whether high-flow nasal oxygen (HFNO) can reduce the incidence of hypoxemia in elderly patients undergoing gastroscopy with sedation at high altitudes.

methodsThis single-center, partially-blinded, prospective randomized trial was conducted in Shigatse, Tibet, China (3800 m above sea level). Elderly patients aged ≥ 60 undergoing gastroscopy with sedation were randomly assigned to either the HFNO group (60 L per minute, 100% oxygen) or the conventional nasal cannula (CNC) group (6 L per minute). The primary endpoint was the incidence of hypoxemia, defined as pulse SpO

resultsThe incidence of hypoxemia was significantly lower in the HFNO group than the CNC group (2.8% vs. 32.9%, risk ratio (RR): 0.691; 95% confidence interval (CI): 0.584-0.818, p < 0.001). The median SpO

conclusionsCompared to CNC, HFNO significantly reduced the incidence of hypoxemia during gastroscopy with sedation in elderly patients at high altitudes.

trial registrationChiCTR2400085110; registered on 31 May 2024.

Indexed as

AltitudeGastroscopyHypoxiaOxygen Inhalation TherapyAgedCannulaFemaleHumansMaleOxygenProspective StudiesTibetOxygenDedationElderlyGastroscopyHigh altitudeHigh-flow nasal oxygenHypoxemia

Identifiers

PMID42298391
PMCPMC13379963

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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.