Respiratory failure & ventilation

Application of high-flow nasal oxygen during anesthesia induction for frame-based stereoelectroencephalography: a randomized controlled non-inferiority trial

Perioper Med (Lond)Published Randomised controlled trial

Primary result · Lowest SpO2Result — go to the resultMedian difference 1 % 95 CI 0–2%

Authors' conclusion

HFNO is non-inferior to facemask ventilation in maintaining oxygenation during anesthesia induction for frame-based SEEG.

Study context

Population
Adults with refractory epilepsy undergoing frame-based stereoelectroencephalography (SEEG)
Participants
46 adults
Comparison
High-flow nasal oxygen (HFNO) vs facemask ventilation during anesthesia induction
Primary endpoint
Lowest SpO2
Methodological detailsnon-inferiority
  • Non-inferiority

Primary result

As reported in the abstract

Median difference

1 %

95 CI 0–2%

By group

HFNO vs Facemask
median difference 1 % (95 CI 0–2%)

Secondary outcomes

Post-intubation PaO2

OutcomeHFNOFacemaskP value
Airway adjuncts use0/236/23P = 0.022
Time to secure the airwayShortened with HFNOP = 0.015
Anesthesiologist satisfaction and patient comfortBoth improved with HFNOP < 0.0001

Post-intubation PaO2

Significantly higher in HFNO

Hemodynamic parameters and first-pass intubation success

Similar between groups

Original publication

Application of high-flow nasal oxygen during anesthesia induction for frame-based stereoelectroencephalography: a randomized controlled non-inferiority trial. Perioper Med (Lond). Published 5 November 2025. doi:10.1186/s13741-025-00619-4

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