What is it about?
There have no studies directly comparing the complication rate of nasal cannula and face mask used during propofol-based deep sedation (PBDS) for colonoscopy in the adult patients. The type of airway tool for oxygen supplementation has been under much debate. The aim of the study was to evaluate and compare the complication rate of propofol-based deep sedation (PBDS) for colonoscopic procedure in patients with oxygen supplement through nasal cannula and face mask during the procedure.
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Why is it important?
Oxygen supplemented therapy is recommended by the ASA and the American Society of Gastrointestinal Endoscopy. However, there is no recommendation about the device to be used for oxygenation. In colonoscopy, oxygen supplementation during the procedure could be augmented by nasal cannula or face mask. The result of this study confirmed that the complication rate would be associated with deep sedation. According to the complication rate, oxygen supplementation by the use of face mask would offer no better than nasal cannula.
Perspectives
The performance of the clinical efficacy of nasal cannula and face mask with PBDS technique for colonoscopic procedure in a unit outside OR from a tertiary-care teaching hospital in Thailand was reported. The present study showed that the use of nasal cannula and face mask for oxygen supplementation during colonoscopy in deep sedated patients was effective and safe. The complication rate in these two groups was relatively high. However, serious complications are none. The use of face mask would offer no better than nasal cannula.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Oxygen Supplementation for Propofol-based Deep Sedation in Colonoscopic Procedure: A Comparison between Nasal Cannula and Face Mask, Journal of Clinical Research in Anesthesiology, January 2020, Asclepius Open LLC,
DOI: 10.33309/2639-8915.030203.
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