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High-flow nasal oxygenation during gastrointestinal endoscopy. Systematic review and meta-analysis

Michele Carron, Enrico Tamburini, Bijan Safaee Fakhr, Alessandro De Cassai, Federico Linassi, Paolo Navalesi

2022BJA Open11 citationsDOIOpen Access PDF

Abstract

Background: The use of high-flow nasal oxygen (HFNO) has the potential to improve patient safety by limiting hypoxaemia during gastrointestinal endoscopy. The degree of benefit is not adequately established. Methods: trial sequence analysis were performed. Results: 21%) than COT. A high level of heterogeneity between the studies precluded confidence in drawing inference from the meta-analysis. Conclusions: The evidence reviewed suggests that compared with COT, HFNO has fewer hypoxaemic events during gastrointestinal endoscopy, but this may not apply to all patients and clinical scenarios.

Topics & Concepts

MedicineAdverse effectMeta-analysisEndoscopySubgroup analysisClinical endpointIncidence (geometry)Confidence intervalAnesthesiaRandomized controlled trialGastroenterologySurgeryInternal medicinePhysicsOpticsAirway Management and Intubation TechniquesHead and Neck Surgical OncologyObstructive Sleep Apnea Research
High-flow nasal oxygenation during gastrointestinal endoscopy. Systematic review and meta-analysis | Litcius