Pediatric anesthesia & critical care

Oxygen Supplementation in Pediatric Sedation: Prospective, Multicenter, Randomized Controlled Trial

AnesthesiologyPublished Randomised controlled trial

Authors' conclusion

Routine oxygen supplementation prevents hypoxemia during pediatric moderate and deep sedation.

Study context

Population
Children (<18 yr) undergoing moderate to deep sedation for diagnostic and therapeutic procedures250 completed
Participants
253 children
Comparison
Low-flow nasal cannula oxygen or high-flow nasal cannula oxygen vs no oxygen during sedation
Primary endpoint
Hypoxemia incidence (SpO2 ≤95% for >5 s)
Methodological detailsprospective, multicenter, three-arm
  • Prospective
  • Multicenter
  • Three-arm

Primary result

As reported in the abstract

Hypoxemia
Odds ratio (95% CI)P value
Low-flow vs Control
0.184(0.067–0.503)
P = 0.001
High-flow vs Control
0.026(0.003–0.207)
P < 0.001
High-flow vs Low-flownot statistically lower
0.143(0.017–1.245)
P = 0.078

Secondary outcomes

Rescue interventions

  • Rescue interventions: P < 0.001

Safety

Sedation-related complications (e.g. desaturation, apnea)

Lower in the Low-flow and High-flow groups than in Control
P < 0.001

Original publication

Oxygen Supplementation in Pediatric Sedation: Prospective, Multicenter, Randomized Controlled Trial. Anesthesiology. Published 11 April 2025. doi:10.1097/aln.0000000000005500

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