R. Reshef et al., A PROSPECTIVE-STUDY EVALUATING THE USEFULNESS OF CONTINUOUS SUPPLEMENTAL OXYGEN IN VARIOUS ENDOSCOPIC PROCEDURES, Israel journal of medical sciences, 32(9), 1996, pp. 736-740
The influence of oxygen supplementation on the prevalence of hypoxemia
during endoscopic procedures was studied in 289 patients in a prospec
tive clinical trial. The frequency of oxygen desaturation was found to
decrease significantly in patients receiving oxygen via nasal prongs,
compared to patients not receiving oxygen supplementation. The effect
Was demonstrated especially in patients who underwent an additional p
rocedure during their endoscopic examinations. Similar effects were fo
und in patients undergoing gastroscopy, colonoscopy, and endoscopic re
trograde cholangiopancreatography. In view of the risks related to hyp
oxemia and its high prevalence in endoscopic procedures (28-50%) we re
commend that a routine oxygen supplementation policy be considered in
every patient undergoing endoscopy, especially when additional procedu
res are to be performed.