Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study

Objective. This prospective and randomized study evaluated the efficacy and safety of the nasopharyngeal airway relative to the nasal oxygen tube in obese patients undergoing painless gastroscopy. Materials and Methods. Obese patients (BMI≥28 kg/m2; n=260) were randomly and equally apportioned to th...

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Main Authors: Qiansong Xiao, Yingying Yang, Yinbin Zhou, Yan Guo, Xing Ao, Ran Han, Jiali Hu, Dongfeng Chen, Chunhui Lan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/2641257
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author Qiansong Xiao
Yingying Yang
Yinbin Zhou
Yan Guo
Xing Ao
Ran Han
Jiali Hu
Dongfeng Chen
Chunhui Lan
author_facet Qiansong Xiao
Yingying Yang
Yinbin Zhou
Yan Guo
Xing Ao
Ran Han
Jiali Hu
Dongfeng Chen
Chunhui Lan
author_sort Qiansong Xiao
collection DOAJ
description Objective. This prospective and randomized study evaluated the efficacy and safety of the nasopharyngeal airway relative to the nasal oxygen tube in obese patients undergoing painless gastroscopy. Materials and Methods. Obese patients (BMI≥28 kg/m2; n=260) were randomly and equally apportioned to the nasopharyngeal airway (Group A) or nasal oxygen tube (Group B) group. Three patients were excluded due to failure of insertion of the nasopharyngeal airway. The duration of endoscopy, anesthetic dose, recovery time, and adverse events were recorded. The satisfaction of the anesthetist, physicians, and patient was scored. Results. The SpO2 reduction was significantly less in Group A than in Group B. Use of a respirator for assisted ventilation occurred significantly less in Group A. The groups were similar regarding mean arterial pressure, heart rate, anesthetic dose, duration of gastroscopy, recovery time, and adverse events. Satisfaction of the physician and anesthetist was greater in Group A; the groups were similar in patient satisfaction. Conclusions. Use of the nasopharyngeal airway for obese patients during painless gastroscopy resulted in less SpO2 reduction relative to the nasal oxygen tube. Altogether, it is a safe and effective device for obese patients undergoing painless gastroscopy.
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institution Kabale University
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publishDate 2016-01-01
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spelling doaj-art-ec2ba50740f74717a4aa9475357f5d732025-02-03T01:29:00ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/26412572641257Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized StudyQiansong Xiao0Yingying Yang1Yinbin Zhou2Yan Guo3Xing Ao4Ran Han5Jiali Hu6Dongfeng Chen7Chunhui Lan8Department of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaChongqing Medical University, Chongqing 400016, ChinaDepartment of Gastroenterology, Southwest Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaDepartment of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing 400042, ChinaObjective. This prospective and randomized study evaluated the efficacy and safety of the nasopharyngeal airway relative to the nasal oxygen tube in obese patients undergoing painless gastroscopy. Materials and Methods. Obese patients (BMI≥28 kg/m2; n=260) were randomly and equally apportioned to the nasopharyngeal airway (Group A) or nasal oxygen tube (Group B) group. Three patients were excluded due to failure of insertion of the nasopharyngeal airway. The duration of endoscopy, anesthetic dose, recovery time, and adverse events were recorded. The satisfaction of the anesthetist, physicians, and patient was scored. Results. The SpO2 reduction was significantly less in Group A than in Group B. Use of a respirator for assisted ventilation occurred significantly less in Group A. The groups were similar regarding mean arterial pressure, heart rate, anesthetic dose, duration of gastroscopy, recovery time, and adverse events. Satisfaction of the physician and anesthetist was greater in Group A; the groups were similar in patient satisfaction. Conclusions. Use of the nasopharyngeal airway for obese patients during painless gastroscopy resulted in less SpO2 reduction relative to the nasal oxygen tube. Altogether, it is a safe and effective device for obese patients undergoing painless gastroscopy.http://dx.doi.org/10.1155/2016/2641257
spellingShingle Qiansong Xiao
Yingying Yang
Yinbin Zhou
Yan Guo
Xing Ao
Ran Han
Jiali Hu
Dongfeng Chen
Chunhui Lan
Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
Gastroenterology Research and Practice
title Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
title_full Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
title_fullStr Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
title_full_unstemmed Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
title_short Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study
title_sort comparison of nasopharyngeal airway device and nasal oxygen tube in obese patients undergoing intravenous anesthesia for gastroscopy a prospective and randomized study
url http://dx.doi.org/10.1155/2016/2641257
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