Use of Apneic Oxygenation for the Performance of Pan‐endoscopy

This is the authors' abstract. We don't add key points for this paper.

OBJECTIVE: To evaluate the efficacy of apneic oxygenation for the performance of pan-endoscopy. STUDY DESIGN: Clinical retrospective study. SETTING: A university teaching hospital in Wuppertal, Germany. SUBJECTS: Forty-seven patients who underwent pan-endoscopy under apneic oxygenation during a period of 1 year. METHODS: After preoxygenation and induction of anesthesia, an 8 French catheter was introduced into the trachea for oxygen supply. Pan-endoscopy was carried out, as long as there were no signs of desaturation. The data were collected retrospectively from the anesthesia charts. RESULTS: Apnea was well tolerated up to 45 minutes in most of the patients. In 2 patients, the method was carried out incorrectly, and in 1 obese patient, it was not possible to get an acceptable oxygenation. CONCLUSION: With appropriate monitoring, sufficient nitrogen elution, and proper patient selection, we believe that this technique is superior to jet ventilation and intubation for pan-endoscopy, allowing unimpeded operative visualization.