Assessment of the application of double-modified nasopharyngeal airways versus the use of low-flow nasal cannula during pediatric upper gastrointestinal endoscopy: A prospective, randomized, noninferiority, controlled trial

Autor: Mostafa M. Hussein, Akram M. Amer, Mohammed M. Maarouf
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Anaesthesiology Clinical Pharmacology, Vol 40, Iss 3, Pp 403-409 (2024)
Druh dokumentu: article
ISSN: 0970-9185
2231-2730
DOI: 10.4103/joacp.joacp_113_23
Popis: Background and Aims: Pediatric upper gastrointestinal (GI) endoscopy is commonly performed under deep sedation, which is frequently associated with respiratory complications. The study compared the respiratory benefits of applying bilateral modified nasopharyngeal airways (NPAs) to conventional low-flow nasal cannula (LFNC). Material and Methods: Fifty patients scheduled for an upper GI endoscopy under deep sedation, with an American Society of Anesthesiologists physical status I/II, were enrolled in the study. The patients were randomly divided into bilateral NPA group and the LFNC group. Fentanyl and propofol were administered to both groups to maintain deep sedation. After the application of NPA or LFNC, the hypoxic incidents (oxygen saturation [SpO2]
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