Evidence map›Paper›PMID 42382179›Full record

Trial reportTherapeutics and clinical risk management2026

Transnasal Humidified Rapid-Insufflation Ventilatory Exchange versus Oropharyngeal Airway-Assisted Face-Mask Ventilation for Gastric Insufflation During Induction of General Anesthesia in Patients at High Risk for Obstructive Sleep Apnea.

Zhe Jia, Yangfei Xu, Can Zhang, Huifang Jiang, Yingying Han, Xiaohong Yuan, Hongwei Wang, Kangjie Xie

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Therapeutics and clinical risk management, 2026. 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. Review
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

8 authors.

Zhe Jia *Department of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, People's Republic of China.
Yangfei Xu *The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Can ZhangGraduate School, Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.ORCID 0009-0004-2535-1410
Huifang JiangDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, People's Republic of China.
Yingying HanGraduate School, Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.
Xiaohong YuanDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, People's Republic of China.
Hongwei WangDepartment of Anesthesiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, People's Republic of China.
Kangjie XieDepartment of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Obstructive sleep apnea (OSA) is an independent risk factor for gastric insufflation during the induction of general anesthesia. We aimed to compare the impact of oropharyngeal airway-assisted face-mask ventilation and transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) on gastric insufflation in patients with high-risk OSA. Patients and Methods: Patients at high risk for OSA scheduled for elective major abdominal surgery under general anesthesia were randomized 1:1 to either Group T (THRIVE throughout induction) or Group M (face-mask preoxygenation followed by oropharyngeal airway-assisted pressure-controlled ventilation). Gastric antrum ultrasonography was performed at baseline (T Results: Of 100 randomized patients, 94 completed the study (47 per group). Group T demonstrated a significantly lower incidence of gastric insufflation post-intubation compared to Group M (23.4% vs 44.7%; Conclusion: In patients at high risk for OSA, THRIVE reduces the incidence of gastric insufflation during induction compared with oropharyngeal airway-assisted face-mask ventilation. THRIVE improves preoxygenation and patient comfort. Oxygenation was maintained during apnea, with a transient increase in PaCO

Indexed as

gastric insufflationgeneral anesthesiaobstructive sleep apneaoropharyngeal airwaytransnasal humidified rapid-insufflation ventilatory exchange

Identifiers

PMID42382179
PMCPMC13317547

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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.