Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Review Article
Asp Biomed Clin Case Rep. 2023 Apr 08;6(2):54-63
Jun Ma1, Ling Tan1*
1Department of Anesthesiology, West China Hospital, Sichuan University, People’s Republic of China
Corresponding Author: Ling Tan
Address: Department of Anesthesiology, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu 610041, People’s Republic of China.
Received date: 14 March 2023; Accepted date: 03 April 2023; Published date: 08 April 2023
Citation: Ma J, Tan L. Research Progress on Prevention and Treatment of Hypoxemia in Painless Gastroscopy: A Review Article. Asp Biomed Clin Case Rep. 2023 Apr 08;6(2):54-63.
Copyright © 2023 Ma J, Tan L. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Painless Gastroscopy, Hypoxemia, Risk Factors, Prevention, Treatment
Abbreviations: PG: Painless Gastroscopy; WSIVA: World Society of Intravenous Anesthesia; ASGE: American Society for Gastrointestinal Endoscopy; BPS: Balanced Propofol Sedation; ESGE: European Society of Gastrointestinal Endoscopy; EUS-FNA: Endoscopic Ultrasonography-Guided Fine Needle Aspiration; ERCP: Endoscopic Retrograde CholangioPancreatography; BMI: Body Mass Index; OSAS: Obstructive Sleep Apnea Syndrome; BQ: Berlin Questionnaire; AHI: Apnea-Hypopnea Index; ASA: American Society of Anesthesiologists; HFNC: High-Flow Nasal Cannula
Compared to ordinary gastroscopy, painless gastroscopy has more advantages due to the application of anesthesia techniques such as sedation and analgesia, providing patients with comfort and a quick recovery. However, patients undergoing painless gastroscopy are often at risk of hypoxia, which can result in serious complications. Fortunately, more anesthesia providers have recognized this problem. Therefore, it is essential for anesthesia providers to identify risk factors to prevent hypoxemia. In conclusion, this review highlights the assessment of risk factors for hypoxemia in painless gastroscopy and common airway management methods to prevent and treat hypoxemia in high-risk populations during painless endoscopy.