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Comparison of high flow nasal oxygen and conventional nasal cannula during gastrointestinal endoscopic sedation in the prone position: a randomized trial

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dc.contributor.author김승현-
dc.contributor.author박승우-
dc.contributor.author박정엽-
dc.contributor.author방승민-
dc.contributor.author오영준-
dc.contributor.author이기영-
dc.contributor.author이희승-
dc.date.accessioned2021-04-29T17:25:25Z-
dc.date.available2021-04-29T17:25:25Z-
dc.date.issued2021-04-
dc.identifier.issn0832-610X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182333-
dc.description.abstractPurpose: Deep sedation for endoscopic retrograde cholangiopancreatography (ERCP) can be challenging in elderly patients in the prone position. This study investigated the effect of a high flow nasal oxygen (HFNO) delivery system on oxygenation in this procedure compared with that of conventional nasal cannula oxygen administration. Methods: A prospective randomized trial was conducted using HFNO and conventional nasal cannula in patients undergoing ERCP in the prone position. For each patient, the lowest oxygen saturation (SpO2), the incidence of hypoxemia defined as an SpO2 below 90%, and interruptions due to airway interventions were recorded during the procedure. Results: The lowest mean (standard deviation) SpO2 recorded during the procedure was higher in the HFNO group than in the conventional control group [99.8 (0.6)% vs 95.1 (7.3)%; mean difference, 4.7%; 95% confidence interval, 2.3% to 7.1%; P Group x Time < 0.001]. While the lowest SpO2 during the procedure was lower than the baseline SpO2 in the control group, the lowest SpO2 during the procedure was higher than the baseline SpO2 in the HFNO group. Hypoxemia occurred only in the control group (n = 7; 19%; P = 0.01). Procedural interruptions, including discontinuation of sedation, patient stimulation, and jaw thrusting, occurred only in the control group (n = 9 [25%], n = 10 [28%], and n = 10 [28%] cases, respectively; P = 0.001 for each). Conclusion: In contrast to conventional nasal cannula, high flow nasal oxygen provided adequate oxygenation without causing procedural interruptions during ERCP, suggesting that HFNO may be used as a standard oxygen delivery method during these procedures. Trial registration: www.ClinicalTrials.gov (NCT03872674); registered 11 March 2019.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer New York-
dc.relation.isPartOfCANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleComparison of high flow nasal oxygen and conventional nasal cannula during gastrointestinal endoscopic sedation in the prone position: a randomized trial-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthorSeung Hyun Kim-
dc.contributor.googleauthorSeungmin Bang-
dc.contributor.googleauthorKi-Young Lee-
dc.contributor.googleauthorSeung Woo Park-
dc.contributor.googleauthorJeong Youp Park-
dc.contributor.googleauthorHee Seung Lee-
dc.contributor.googleauthorHanseul Oh-
dc.contributor.googleauthorYoung Jun Oh-
dc.identifier.doi10.1007/s12630-020-01883-2-
dc.contributor.localIdA05098-
dc.contributor.localIdA01551-
dc.contributor.localIdA01647-
dc.contributor.localIdA01786-
dc.contributor.localIdA02389-
dc.contributor.localIdA02695-
dc.contributor.localIdA03349-
dc.relation.journalcodeJ00426-
dc.identifier.eissn1496-8975-
dc.identifier.pmid33403549-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs12630-020-01883-2-
dc.subject.keywordendoscopy-
dc.subject.keywordhigh flow nasal oxygen-
dc.subject.keywordsedation-
dc.contributor.alternativeNameKim, Seung Hyun-
dc.contributor.affiliatedAuthor김승현-
dc.contributor.affiliatedAuthor박승우-
dc.contributor.affiliatedAuthor박정엽-
dc.contributor.affiliatedAuthor방승민-
dc.contributor.affiliatedAuthor오영준-
dc.contributor.affiliatedAuthor이기영-
dc.contributor.affiliatedAuthor이희승-
dc.citation.volume68-
dc.citation.number4-
dc.citation.startPage460-
dc.citation.endPage466-
dc.identifier.bibliographicCitationCANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, Vol.68(4) : 460-466, 2021-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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