Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider
Background/Aims: Hypoxemia is a common side effect of propofol sedation during endoscopy. Applying mild positive airway pressure (PAP) using a nasal mask may offer a simple way to reduce such events and optimize the conditions for diagnostic and therapeutic upper gastrointestinal endoscopies. Method...
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| Veröffentlicht in: | Clinical endoscopy 2024-03, Vol.57 (2), p.196-202 |
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| container_title | Clinical endoscopy |
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| creator | Jan Drews Jonas Harder Hannah Kaiser Miriam Soenarjo Dorothee Spahlinger Peter Wohlmuth Sebastian Wirtz Ralf Eberhardt Florian Bornitz Torsten Bunde Thomas Von Hahn |
| description | Background/Aims: Hypoxemia is a common side effect of propofol sedation during endoscopy. Applying mild positive airway pressure (PAP) using a nasal mask may offer a simple way to reduce such events and optimize the conditions for diagnostic and therapeutic upper gastrointestinal endoscopies.
Methods: We compared overweight patients (body mass index >25 kg/m 2 ) with a nasal PAP mask or standard nasal cannula undergoing upper gastrointestinal endoscopies by non-anesthesiologists who provided propofol sedation. Outcome parameters included the frequency and severity of hypoxemic episodes.
Results: We analyzed 102 procedures in 51 patients with nasal PAP masks and 51 controls. Episodes of hypoxemia (oxygen saturation [SpO 2 ] |
| format | Article |
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Methods: We compared overweight patients (body mass index >25 kg/m 2 ) with a nasal PAP mask or standard nasal cannula undergoing upper gastrointestinal endoscopies by non-anesthesiologists who provided propofol sedation. Outcome parameters included the frequency and severity of hypoxemic episodes.
Results: We analyzed 102 procedures in 51 patients with nasal PAP masks and 51 controls. Episodes of hypoxemia (oxygen saturation [SpO 2 ] <90% at any time during sedation) occurred in 25 (49.0%) controls compared to 8 (15.7%) patients with nasal PAP masks (p<0.001). Severe hypoxemia (SpO 2 <80%) occurred in three individuals (5.9%) in both groups. The mean delta between baseline SpO 2 and the lowest SpO 2 recorded was significantly decreased among patients with nasal PAP mask compared to controls (3.7 and 8.2 percentage points difference, respectively). There were significantly fewer airway interventions performed in the nasal PAP mask group (15.7% vs. 41.2%, p=0.008).
Conclusions: Using a nasal PAP mask may be a simple means of increasing patient safety and ease of examination.</description><identifier>ISSN: 2234-2400</identifier><identifier>EISSN: 2234-2443</identifier><language>kor</language><publisher>대한소화기내시경학회</publisher><subject>Conscious sedation ; Digestive system ; Endoscopy ; Hypoxia ; Oxygen inhalation therapy</subject><ispartof>Clinical endoscopy, 2024-03, Vol.57 (2), p.196-202</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885</link.rule.ids></links><search><creatorcontrib>Jan Drews</creatorcontrib><creatorcontrib>Jonas Harder</creatorcontrib><creatorcontrib>Hannah Kaiser</creatorcontrib><creatorcontrib>Miriam Soenarjo</creatorcontrib><creatorcontrib>Dorothee Spahlinger</creatorcontrib><creatorcontrib>Peter Wohlmuth</creatorcontrib><creatorcontrib>Sebastian Wirtz</creatorcontrib><creatorcontrib>Ralf Eberhardt</creatorcontrib><creatorcontrib>Florian Bornitz</creatorcontrib><creatorcontrib>Torsten Bunde</creatorcontrib><creatorcontrib>Thomas Von Hahn</creatorcontrib><title>Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider</title><title>Clinical endoscopy</title><addtitle>Clinical Endoscopy</addtitle><description>Background/Aims: Hypoxemia is a common side effect of propofol sedation during endoscopy. Applying mild positive airway pressure (PAP) using a nasal mask may offer a simple way to reduce such events and optimize the conditions for diagnostic and therapeutic upper gastrointestinal endoscopies.
Methods: We compared overweight patients (body mass index >25 kg/m 2 ) with a nasal PAP mask or standard nasal cannula undergoing upper gastrointestinal endoscopies by non-anesthesiologists who provided propofol sedation. Outcome parameters included the frequency and severity of hypoxemic episodes.
Results: We analyzed 102 procedures in 51 patients with nasal PAP masks and 51 controls. Episodes of hypoxemia (oxygen saturation [SpO 2 ] <90% at any time during sedation) occurred in 25 (49.0%) controls compared to 8 (15.7%) patients with nasal PAP masks (p<0.001). Severe hypoxemia (SpO 2 <80%) occurred in three individuals (5.9%) in both groups. The mean delta between baseline SpO 2 and the lowest SpO 2 recorded was significantly decreased among patients with nasal PAP mask compared to controls (3.7 and 8.2 percentage points difference, respectively). There were significantly fewer airway interventions performed in the nasal PAP mask group (15.7% vs. 41.2%, p=0.008).
Conclusions: Using a nasal PAP mask may be a simple means of increasing patient safety and ease of examination.</description><subject>Conscious sedation</subject><subject>Digestive system</subject><subject>Endoscopy</subject><subject>Hypoxia</subject><subject>Oxygen inhalation therapy</subject><issn>2234-2400</issn><issn>2234-2443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNo9js1OwzAQhCMEElXpE3DxhWMkx3aa5FhV_BQq9dJ75dibdNXEjmw3JS_JM2EE9LQ7mtn59iaZMcZFyoTgt9ed0vtk4T3WVIiC82xJZ8nXph-kCsQ2RBKP_dABMdakaEbpcYxCetmRXvoT0TCiAmINQROcHJxVoM8u2sdpsJ_Qo4wOsSO4C2B7DFFpHFGfZefJ2WhwrUXTkvMwgCOt9MFFHcAHNLEFjLZe2WEiFwxH4kHLgJEWQbEENKmn-OTPd9LEmyN4tJ1t0Yf_iHtI7poIg8XfnCf7l-f9-i3d7l4369U2PeW0SGvOWM6hrHld5QUokTdUZZqWSjVlyajKocqkLKhWNeRZVXHeNE2mOGc6K3XF58nTb-0pwvFgtO8O76uPHaNMML4UvBCiWhYx93jN-cPgsJduOghaCiGW_BtN5oZv</recordid><startdate>20240330</startdate><enddate>20240330</enddate><creator>Jan Drews</creator><creator>Jonas Harder</creator><creator>Hannah Kaiser</creator><creator>Miriam Soenarjo</creator><creator>Dorothee Spahlinger</creator><creator>Peter Wohlmuth</creator><creator>Sebastian Wirtz</creator><creator>Ralf Eberhardt</creator><creator>Florian Bornitz</creator><creator>Torsten Bunde</creator><creator>Thomas Von Hahn</creator><general>대한소화기내시경학회</general><scope>HZB</scope><scope>Q5X</scope><scope>JDI</scope></search><sort><creationdate>20240330</creationdate><title>Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider</title><author>Jan Drews ; Jonas Harder ; Hannah Kaiser ; Miriam Soenarjo ; Dorothee Spahlinger ; Peter Wohlmuth ; Sebastian Wirtz ; Ralf Eberhardt ; Florian Bornitz ; Torsten Bunde ; Thomas Von Hahn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k507-b32253e8b3b957ec45f0c1d08ccf8820c5e91aa70dcbe519933fff1c332d18d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2024</creationdate><topic>Conscious sedation</topic><topic>Digestive system</topic><topic>Endoscopy</topic><topic>Hypoxia</topic><topic>Oxygen inhalation therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jan Drews</creatorcontrib><creatorcontrib>Jonas Harder</creatorcontrib><creatorcontrib>Hannah Kaiser</creatorcontrib><creatorcontrib>Miriam Soenarjo</creatorcontrib><creatorcontrib>Dorothee Spahlinger</creatorcontrib><creatorcontrib>Peter Wohlmuth</creatorcontrib><creatorcontrib>Sebastian Wirtz</creatorcontrib><creatorcontrib>Ralf Eberhardt</creatorcontrib><creatorcontrib>Florian Bornitz</creatorcontrib><creatorcontrib>Torsten Bunde</creatorcontrib><creatorcontrib>Thomas Von Hahn</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><collection>KoreaScience</collection><jtitle>Clinical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jan Drews</au><au>Jonas Harder</au><au>Hannah Kaiser</au><au>Miriam Soenarjo</au><au>Dorothee Spahlinger</au><au>Peter Wohlmuth</au><au>Sebastian Wirtz</au><au>Ralf Eberhardt</au><au>Florian Bornitz</au><au>Torsten Bunde</au><au>Thomas Von Hahn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider</atitle><jtitle>Clinical endoscopy</jtitle><addtitle>Clinical Endoscopy</addtitle><date>2024-03-30</date><risdate>2024</risdate><volume>57</volume><issue>2</issue><spage>196</spage><epage>202</epage><pages>196-202</pages><issn>2234-2400</issn><eissn>2234-2443</eissn><abstract>Background/Aims: Hypoxemia is a common side effect of propofol sedation during endoscopy. Applying mild positive airway pressure (PAP) using a nasal mask may offer a simple way to reduce such events and optimize the conditions for diagnostic and therapeutic upper gastrointestinal endoscopies.
Methods: We compared overweight patients (body mass index >25 kg/m 2 ) with a nasal PAP mask or standard nasal cannula undergoing upper gastrointestinal endoscopies by non-anesthesiologists who provided propofol sedation. Outcome parameters included the frequency and severity of hypoxemic episodes.
Results: We analyzed 102 procedures in 51 patients with nasal PAP masks and 51 controls. Episodes of hypoxemia (oxygen saturation [SpO 2 ] <90% at any time during sedation) occurred in 25 (49.0%) controls compared to 8 (15.7%) patients with nasal PAP masks (p<0.001). Severe hypoxemia (SpO 2 <80%) occurred in three individuals (5.9%) in both groups. The mean delta between baseline SpO 2 and the lowest SpO 2 recorded was significantly decreased among patients with nasal PAP mask compared to controls (3.7 and 8.2 percentage points difference, respectively). There were significantly fewer airway interventions performed in the nasal PAP mask group (15.7% vs. 41.2%, p=0.008).
Conclusions: Using a nasal PAP mask may be a simple means of increasing patient safety and ease of examination.</abstract><pub>대한소화기내시경학회</pub><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2234-2400 |
| ispartof | Clinical endoscopy, 2024-03, Vol.57 (2), p.196-202 |
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| source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; PubMed Central |
| subjects | Conscious sedation Digestive system Endoscopy Hypoxia Oxygen inhalation therapy |
| title | Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider |
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