{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T14:13:45Z","timestamp":1718979225282},"reference-count":0,"publisher":"SRUMB - Romanian Society for Ultrasonography in Medicine and Biology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Ultrason"],"abstract":"<jats:p>Aim: The most common complication during esophagogastroduodenoscopy (EGD) under sedation is hypoxemia. There is\u00a0a scarcity of indicators to predict the risk of hypoxemia during EGD under sedation accurately. The width of the lower tongue\u00a0base measured by ultrasound (US) is considered to be a significant predictor of the presence and severity of obstructive sleepapnea syndrome (OSAS), which develops hypoxemia by a similar mechanism to EGD under sedation. This study aimed to\u00a0observe its ability to predict hypoxemia during EGD under sedation.Material and methods\u02d0 Adult patients undergoing EGD\u00a0under sedation at our hospital after assessment in the anesthesia clinic were enrolled in the study. The width of the lower tongue\u00a0base was measured as the distance between the lingual arteries (DLA) on both sides of the inferior lateral margin of the tongue\u00a0by US. The primary outcome was hypoxemia defined as the SpO2 &lt;90% for longer than 10 seconds during EGD under sedation.\u00a0Results\u02d0A total of 304 patients were successfully included, and hypoxemia was reported in 32 patients (10.5%). The DLA\u00a0prediction criterion for hypoxemia was &gt;31 mm. The DLA was correlated with hypoxemia (Spearman correlation coefficient,\u00a00.455; p&lt;0.001) and owned the highest area under the receiver operating characteristic curve (0.927; 99% CI, 0.891 to 0.953,\u00a0compared with that of the other predictors, p&lt; 0.001) with hypoxemia.Conclusions\u02d0 The width of the lower tongue base,\u00a0measured as the DLA by US examination can be used to effectively predict the risk of hypoxemia during EGD under sedation.<\/jats:p>","DOI":"10.11152\/mu-4326","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T18:41:46Z","timestamp":1706640106000},"page":"131","source":"Crossref","is-referenced-by-count":0,"title":["Can the width of lower tongue base preoperative sonography measurements predict hypoxemia during esophagogastroduodenoscopy under sedation in ASA I-II patients?"],"prefix":"10.11152","volume":"26","author":[{"given":"Hao","family":"Wu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4840","published-online":{"date-parts":[[2024,6,21]]},"container-title":["Medical Ultrasonography"],"original-title":[],"link":[{"URL":"https:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/4326\/2309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/4326\/2309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T13:56:48Z","timestamp":1718978208000},"score":1,"resource":{"primary":{"URL":"https:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/view\/4326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,21]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,6,21]]}},"URL":"https:\/\/doi.org\/10.11152\/mu-4326","relation":{},"ISSN":["2066-8643","1844-4172"],"issn-type":[{"value":"2066-8643","type":"electronic"},{"value":"1844-4172","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6,21]]}}}