{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T05:00:59Z","timestamp":1793682059596,"version":"4.5.1"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Anesthesia"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.jclinane.2026.112189","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:16:10Z","timestamp":1774599370000},"page":"112189","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["High-flow nasal cannula improves pulmonary gas exchange during endoscopic retrograde cholangiopancreatography: A single-center randomized controlled trial"],"prefix":"10.1016","volume":"111","author":[{"given":"Julia","family":"Mart\u00ednez-Oc\u00f3n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Calvo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep","family":"Sanahuja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Salazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"C\u00e1rdenas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro L.","family":"Gamb\u00fas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Ferrando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Rivas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graciela","family":"Mart\u00ednez-Pall\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0005","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.bja.2020.08.057","article-title":"Outcomes after endoscopic retrograde cholangiopancreatography with general anaesthesia versus sedation","volume":"126","author":"Althoff","year":"2021","journal-title":"Br J Anaesth"},{"issue":"47","key":"10.1016\/j.jclinane.2026.112189_bb0010","doi-asserted-by":"crossref","first-page":"10398","DOI":"10.3748\/wjg.v22.i47.10398","article-title":"High-flow nasal oxygen availability for sedation decreases the use of general anesthesia during endoscopic retrograde cholangiopancreatography and endoscopic ultrasound","volume":"22","author":"Schumann","year":"2016","journal-title":"World J Gastroenterol"},{"issue":"6","key":"10.1016\/j.jclinane.2026.112189_bb0015","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1213\/ANE.0000000000005851","article-title":"Pro-con debate: monitored anesthesia care versus general endotracheal anesthesia for endoscopic retrograde cholangiopancreatography","volume":"134","author":"Janik","year":"2022","journal-title":"Anesth Analg"},{"issue":"4","key":"10.1016\/j.jclinane.2026.112189_bb0020","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/ACO.0000000000000745","article-title":"Anesthesia and airway management for gastrointestinal endoscopic procedures outside the operating room","volume":"32","author":"Kuzhively","year":"2019","journal-title":"Curr Opin Anaesthesiol"},{"issue":"6","key":"10.1016\/j.jclinane.2026.112189_bb0025","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.bja.2023.03.012","article-title":"Consensus guidelines for the perioperative management of patients undergoing endoscopic retrograde cholangiopancreatography","volume":"130","author":"Azimaraghi","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jclinane.2026.112189_bb0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2024.102029","article-title":"Adverse events in patients with obstructive sleep apnea undergoing procedural sedation in ambulatory settings: an updated systematic review and meta-analysis","volume":"80","author":"Ceban","year":"2025","journal-title":"Sleep Med Rev"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0035","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s40001-022-00661-8","article-title":"The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: a systematic review and meta-analysis","volume":"27","author":"Zhang","year":"2022","journal-title":"Eur J Med Res"},{"issue":"3","key":"10.1016\/j.jclinane.2026.112189_bb0040","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1038\/ajg.2015.437","article-title":"Capnographic monitoring in routine EGD and colonoscopy with moderate sedation: a prospective, randomized, controlled trial","volume":"111","author":"Mehta","year":"2016","journal-title":"Am J Gastroenterol"},{"issue":"4","key":"10.1016\/j.jclinane.2026.112189_bb0045","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.gie.2008.05.067","article-title":"The use of carbon dioxide for insufflation during GI endoscopy: a systematic review","volume":"69","author":"Dellon","year":"2009","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0050","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s13054-021-03469-w","article-title":"High-flow nasal oxygen in patients with COVID-19-associated acute respiratory failure","volume":"25","author":"Mellado-Artigas","year":"2021","journal-title":"Crit Care"},{"issue":"4","key":"10.1016\/j.jclinane.2026.112189_bb0055","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/ACO.0000000000001383","article-title":"Place of high-flow nasal oxygen in nonoperating room anesthesia","volume":"37","author":"Nay","year":"2024","journal-title":"Curr Opin Anaesthesiol"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0060","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/anae.15845","article-title":"Effect of high-flow nasal oxygen on hypoxaemia during procedural sedation: a systematic review and meta-analysis","volume":"78","author":"Thiruvenkatarajan","year":"2023","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jclinane.2026.112189_bb0065","doi-asserted-by":"crossref","DOI":"10.1177\/17534666241246637","article-title":"Optimal flow of high-flow nasal cannula oxygenation to prevent desaturation during sedation for bronchoscopy: a randomized controlled study","volume":"18","author":"Zhang","year":"2024","journal-title":"Ther Adv Respir Dis"},{"issue":"8","key":"10.1016\/j.jclinane.2026.112189_bb0070","doi-asserted-by":"crossref","first-page":"4154","DOI":"10.1007\/s10620-021-07272-z","article-title":"Impact of high-flow nasal cannula oxygenation on the prevention of hypoxia during endoscopic retrograde cholangiopancreatography in elderly patients: a randomized clinical trial","volume":"67","author":"Lee","year":"2022","journal-title":"Dig Dis Sci"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0075","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/anae.15527","article-title":"Effect of high-flow vs. low-flow nasal plus mouthguard oxygen therapy on hypoxaemia during sedation: a multicentre randomised controlled trial","volume":"77","author":"Thiruvenkatarajan","year":"2022","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jclinane.2026.112189_bb0080","article-title":"CONSORT 2025 statement: updated guideline for reporting randomised trials","volume":"389","author":"Hopewell","year":"2025","journal-title":"BMJ"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0085","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1186\/s12871-022-01912-1","article-title":"Validation of the STOP-Bang questionnaire as a preoperative screening tool for obstructive sleep apnea: a systematic review and meta-analysis","volume":"22","author":"Hwang","year":"2022","journal-title":"BMC Anesthesiol"},{"issue":"10","key":"10.1016\/j.jclinane.2026.112189_bb0095","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1164\/rccm.2107138","article-title":"The Richmond agitation\u2013sedation scale: validity and reliability in adult intensive care unit patients","volume":"166","author":"Sessler","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0100","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1038\/s41598-018-20062-4","article-title":"Vital recorder\u2014a free research tool for automatic recording of high-resolution time-synchronised physiological data from multiple anaesthesia devices","volume":"8","author":"Lee","year":"2018","journal-title":"Sci Rep"},{"issue":"2","key":"10.1016\/j.jclinane.2026.112189_bb0105","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2337\/diacare.17.2.152","article-title":"A mathematical model for the determination of total area under glucose tolerance and other metabolic curves","volume":"17","author":"Tai","year":"1994","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0110","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.bja.2017.11.010","article-title":"High-flow nasal oxygen therapy in intensive care and anaesthesia","volume":"120","author":"Renda","year":"2018","journal-title":"Br J Anaesth"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0115","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s13054-023-04361-5","article-title":"The effects of flow settings during high-flow nasal cannula support for adult subjects: a systematic review","volume":"27","author":"Li","year":"2023","journal-title":"Crit Care"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0120","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1038\/s41598-020-79798-7","article-title":"Clinical efficacy of high-flow nasal oxygen in patients undergoing ERCP under sedation","volume":"11","author":"Cha","year":"2021","journal-title":"Sci Rep"},{"issue":"7","key":"10.1016\/j.jclinane.2026.112189_bb0125","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/j.gie.2005.09.020","article-title":"Cardiopulmonary complications of ERCP in older patients","volume":"63","author":"Fisher","year":"2006","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0130","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1186\/s12871-023-02125-w","article-title":"Respiratory support with nasal high flow without supplemental oxygen in patients undergoing endoscopic retrograde cholangiopancreatography under moderate sedation: a prospective, randomized, single-center clinical trial","volume":"23","author":"Sawase","year":"2023","journal-title":"BMC Anesthesiol"},{"key":"10.1016\/j.jclinane.2026.112189_bb0135","first-page":"1","article-title":"High-flow nasal cannula and mandibular advancement bite block decrease hypoxic events during sedative esophagogastroduodenoscopy: a randomized clinical trial","volume":"6","author":"Teng","year":"2019","journal-title":"Biomed Res Int"},{"issue":"3","key":"10.1016\/j.jclinane.2026.112189_bb0140","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1213\/ANE.0000000000004837","article-title":"High-flow nasal cannula oxygen in patients having anesthesia for advanced esophagogastroduodenoscopy: HIFLOW-ENDO, a randomized clinical trial","volume":"132","author":"Mazzeffi","year":"2021","journal-title":"Anesth Analg"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0145","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.bja.2021.03.020","article-title":"High-flow nasal oxygenation or standard oxygenation for gastrointestinal endoscopy with sedation in patients at risk of hypoxaemia: a multicentre randomised controlled trial (ODEPHI trial)","volume":"127","author":"Nay","year":"2021","journal-title":"Br J Anaesth"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0150","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1186\/s13063-020-04378-z","article-title":"High-flow nasal cannula versus standard oxygen therapy assisting sedation during endoscopic retrograde cholangiopancreatography in high risk cases (OTHER): study protocol of a randomised multicentric trial","volume":"21","author":"Thiruvenkatarajan","year":"2020","journal-title":"Trials"},{"issue":"11","key":"10.1016\/j.jclinane.2026.112189_bb0155","article-title":"A meta-analysis of the effects of transnasal high-flow oxygen therapy in gastrointestinal endoscopy","volume":"27","author":"Wei","year":"2024","journal-title":"Front Med"},{"key":"10.1016\/j.jclinane.2026.112189_bb0160","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jclinane.2018.10.026","article-title":"High-flow versus standard nasal cannula in morbidly obese patients during colonoscopy: a prospective, randomized clinical trial","volume":"54","author":"Riccio","year":"2019","journal-title":"J Clin Anesth"},{"issue":"8","key":"10.1016\/j.jclinane.2026.112189_bb0165","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.4187\/respcare.01106","article-title":"The effects of flow on airway pressure during nasal high-flow oxygen therapy","volume":"56","author":"Parke","year":"2011","journal-title":"Respir Care"},{"key":"10.1016\/j.jclinane.2026.112189_bb0170","doi-asserted-by":"crossref","DOI":"10.1007\/s00392-024-02570-8","article-title":"Prospective randomized evaluation of transcutaneous carbon dioxide monitoring during complex electrophysiological procedures under deep sedation: the TRACES trial","author":"Teumer","year":"2024","journal-title":"Clin Res Cardiol"},{"issue":"1","key":"10.1016\/j.jclinane.2026.112189_bb0175","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1186\/s12871-023-02218-6","article-title":"Feasibility and safety of deep sedation with propofol and remifentanil in spontaneous breathing during endoscopic retrograde cholangiopancreatography: an observational prospective study","volume":"23","author":"De Vico","year":"2023","journal-title":"BMC Anesthesiol"}],"container-title":["Journal of Clinical Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S095281802600067X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S095281802600067X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T19:20:23Z","timestamp":1777144823000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S095281802600067X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":34,"alternative-id":["S095281802600067X"],"URL":"https:\/\/doi.org\/10.1016\/j.jclinane.2026.112189","relation":{},"ISSN":["0952-8180"],"issn-type":[{"value":"0952-8180","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"High-flow nasal cannula improves pulmonary gas exchange during endoscopic retrograde cholangiopancreatography: A single-center randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jclinane.2026.112189","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"112189"}}