Application of Wei nasal jet tube in painless gastroscopy in patients over age 60
10.3760/cma.j.cn321463-20220412-00198
- VernacularTitle:魏氏鼻喷射通气导管在60岁以上患者无痛胃镜检查中的应用价值
- Author:
Hong TAN
1
;
Lei WAN
;
Fukun LIU
;
Fushan XUE
;
Liujiazi SHAO
Author Information
1. 首都医科大学附属北京友谊医院麻醉科，北京 100050
- Keywords:
Gastroscopy;
Propofol;
Hypoxemia;
Wei nasal jet tube;
Nasal cannula
- From:
Chinese Journal of Digestive Endoscopy
2022;39(9):735-738
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the clinical efficacy and safety of Wei nasal jet tube (WNJT) in painless gastroscopy in patients over age of 60, 80 patients aged 60 years or older scheduled for gastroscopy under propofol mono-sedation in Beijing Friendship Hospital were divided into WNJT group ( n=40) and nasal cannula group ( n=40) according to the random number table method from January to June 2021. The main observation indicator was the difference in the incidence of hypoxemia between the two groups, the secondary observation indicators included the lowest pulse blood oxygen saturation (SpO 2), interventions related to hypoxemia, adverse events such as body movement, cough, epistaxis, sore throat, and the satisfaction of physicians, anesthetists and patients. The results showed that the procedure time and total dosage of propofol were no significant differences between the two groups ( P>0.05). Compared with the nasal cannula group, the incidence of hypoxemia in the WNJT group was significantly lower [2.5% (1/40) VS 25.0% (10/40), χ2=8.538, P=0.003], the lowest SpO 2 was significantly higher (97.7%±2.5% VS 92.6%±5.8%, t=5.093, P<0.001), and the use of jaw lift was reduced [5.0% (2/40) VS 35.0% (14/40), χ2=11.250, P=0.001]. The adverse events were not significantly different between the two groups ( P>0.05), but no case of epistaxis and sore throat occurred in the nasal cannula group. The two groups were comparable in terms of the satisfaction of patients, anesthetists and physicians ( P>0.05). In conclusion, WNJT can be used safely during gastroscopy with propofol mono-sedation in patients over 60 years old, with less incidence of hypoxemia and the number of airway interventions. But violent operation should be avoided to reduce the incidence of epistaxis and sore throat.
