scholarly journals Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy

2017 ◽  
Vol 3 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Adrian A. Ong ◽  
Christopher M. Ayers ◽  
Eric J. Kezirian ◽  
B. Tucker Woodson ◽  
Nico de Vries ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy

scholarly journals Evaluation of Drug-Induced Sleep Endoscopy as a Patient Selection Tool for Implanted Upper Airway Stimulation for Obstructive Sleep Apnea

2013 ◽  
Vol 09 (05) ◽  
pp. 433-438 ◽  
Author(s):  
Olivier M. Vanderveken ◽  
Joachim T. Maurer ◽  
Winfried Hohenhorst ◽  
Evert Hamans ◽  
Ho-Sheng Lin ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Patient Selection ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Selection Tool ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep

Drug-Induced Sleep Endoscopy

2021 ◽  
pp. 93-108
Author(s):  
Eric J. Kezirian ◽  
Madeline J. L. Ravesloot ◽  
Winfried Hohenhorst ◽  
Nico de Vries
Keyword(s):  
Treatment Outcomes ◽  
Three Dimensional ◽  
Upper Airway ◽  
Evaluation Technique ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy ◽  
Test Characteristics ◽  
Vote Classification

Drug-induced sleep endoscopy (DISE) is an upper airway evaluation technique in which fiberoptic examination is performed under conditions of unconscious sedation. Unique information obtained from this three-dimensional examination of the airway potentially provides additive benefits to other evaluation methods to guide treatment selection. This chapter presents recommendations regarding DISE technique. It presents the Velum, Oropharynx, Tongue Base, Epiglottis (VOTE) classification for reporting DISE findings, which incorporates the four major structures that contribute to airway obstruction in most patients. The authors review the evidence concerning DISE test characteristics and the association between DISE findings and treatment outcomes, including for upper airway stimulation.

The Influence of Drug-Induced Sleep Endoscopy on Determining Candidacy for Upper Airway Stimulation Therapy

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P133-P134
Author(s):  
Christopher M. Ayers ◽  
Eric J. Kezirian ◽  
B. Tucker Woodson ◽  
Nico de Vries ◽  
Shaun A. Nguyen ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy

Outcomes of Hypoglossal Nerve Upper Airway Stimulation among Patients with Isolated Retropalatal Collapse

2019 ◽  
Vol 160 (6) ◽  
pp. 1124-1129 ◽  
Author(s):  
Ahmad F. Mahmoud ◽  
Erica R. Thaler
Keyword(s):  
Medical Center ◽  
Upper Airway ◽  
Apnea Hypopnea Index ◽  
Inclusion Criteria ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Oxyhemoglobin Saturation ◽  
Drug Induced Sleep Endoscopy ◽  
Industry Standard

Objective To examine whether patients with isolated retropalatal collapse perform as well as others following implantation with an upper airway stimulation (UAS) device. Study Design Retrospective review. Setting Single-institution tertiary academic care medical center. Subjects and Methods Following drug-induced sleep endoscopy, subjects who met inclusion criteria for implantation with a UAS device received an implant per industry standard. Subjects with isolated retropalatal collapse were compared with those having other patterns of collapse. Outcome measures included apnea-hypopnea index (AHI) and nadir oxyhemoglobin saturation (NOS). Results Ninety-one patients were implanted during the duration of the study, and 82 met inclusion criteria for analysis. Twenty-five had isolated retropalatal collapse, while the remaining 57 had other patterns of collapse on drug-induced sleep endoscopy. For all patients, mean preoperative AHI and NOS were 38.7 (95% CI, 35.0-42.4) and 78% (95% CI, 75%-80%), respectively; these improved postoperatively to 4.5 (95% CI, 2.3-6.6) and 91% (95% CI, 91%-92%). There was no significant preoperative difference between groups with regard to demographics, AHI, or NOS. Group comparison showed postoperative AHI to be 5.7 (95% CI, 0.57-10.8) for patients with isolated retropalatal collapse and 3.9 (95% CI, 1.7-6.1) for other patients ( P = .888). Postoperative NOS was 92% (95% CI, 90%-94%) among patients with isolated retropalatal collapse and 91% (95% CI, 90%-92%) for others ( P = .402). Conclusions All patients showed significant improvement following implantation with UAS. Patients with isolated retropalatal collapse showed similar improvement to other types of collapse with regard to AHI and NOS.

Drug-induced sleep endoscopy and simulated snoring in patients with sleep-disordered breathing: agreement of anatomic changes in the upper airway

2015 ◽  
Vol 272 (9) ◽  
pp. 2541-2550 ◽  
Author(s):  
Michael Herzog ◽  
Patrick Kellner ◽  
Sebastian Plößl ◽  
Alexander Glien ◽  
Christian Rohrmeier ◽  
...  
Keyword(s):  
Sleep Disordered Breathing ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Simulated Snoring ◽  
Disordered Breathing

scholarly journals Drug-Induced Sleep Endoscopy: Clinical Application and Surgical Outcomes

Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 100 ◽  
Author(s):  
Vito ◽  
Cammaroto ◽  
Chong ◽  
Carrasco-Llatas ◽  
Vicini
Keyword(s):  
Surgical Outcomes ◽  
Acoustic Analysis ◽  
Three Dimensional ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Therapeutic Decision Making ◽  
Open Question ◽  
Insight Into

The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer recording, and endoscopic evaluation. Drug-induced sleep endoscopy (DISE) is a diagnostic tool that allows the dynamic, three-dimensional evaluation of the patterns of vibration and collapse of the upper airway of SDB patients. DISE may change the initial surgical planning in a high percentage of cases. A universally accepted and methodologically standardized DISE could provide significant insight into its role to improve surgical outcomes. However, up to now the ideal DISE protocol remains an open question.

scholarly journals Patogenesis dan diagnosis gangguan napas saat tidur dengan Drug Induce Sleep Endoscopy (DISE)

2018 ◽  
Vol 47 (2) ◽  
pp. 193
Author(s):  
Elvie Zulka Kautzia Rachmawati ◽  
Wresty Arief ◽  
Susyana Tamin ◽  
Rahmanofa Yunizaf ◽  
Fauziah Fardizza
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep ◽  
Muller’S Maneuver

Latar belakang: Obstructive sleep apnea (OSA) ialah penyakit kronis yang terjadi akibat episode intermiten sumbatan jalan napas komplit atau sebagian saat tidur. OSA dapat menimbulkan komplikasi seperti hipertensi, diabetes melitus, stroke dan excessive daytime sleepiness yang dapat berakibat fatal. OSA merupakan bagian dari gangguan napas saat tidur. Tujuan: Mengindentifikasi letak atau level dan konfigurasi sumbatan pada saat tidur. Tinjauan pustaka: Cara untuk mendiagnosis OSA adalah nasofaringolaringoskopi dengan Muller`s maneuver, pemeriksaan polisomnography (PSG), dan drug induce sleep endoscopy (DISE). Pemeriksaan PSG merupakan standar baku emas untuk mendapakan nilai apnea-hipopnea index (AHI) yang menentukan derajat OSA. Pemeriksaan untuk mengidentifikasi lokasi sumbatan jalan napas yang menyebabkan peningkatan resistensi aliran udara adalah Muller`s maneuver dan DISE. Pada pemeriksaan DISE, digunakan propofol atau midazolam secara intravena untuk menstimulasi keadaan sumbatan pada saat tidur, dilanjutkan dengan pemeriksaan nasofaringolaringoskopi. Kesimpulan: Pemeriksaan ini merupakan cara yang sangat terpercaya untuk menentukan level sumbatan pada keadaan tidur, sehingga jenis tindakan operasi yang dilakukan menjadi lebih tepat. Kata kunci: Drug induced sleep endoscopy, midazolam, propofol, manuver Muller’s, obstructive sleep apnea, polisomnografi  ABSTRACT Background: Obstructive sleep apnea (OSA) is a common chronic disorder caused by intermittent episodes of complete or partial upper airway obstruction during sleep. It may lead to complications such as hypertension, diabetes mellitus, stroke, as well as excessive daytime sleepiness which can be fatal. OSA is a part of sleep disorder breathing. Purpose: To identify the sites or the levels of obstruction and its configuration. Literature review: Muller’s maneuver upon nasopharyngoscopy, polysomnography (PSG), and drug-induced sleep endoscopy (DISE) are the modalities for diagnosing OSA. Polysomnography is the gold standard examination for OSA, one of the variables; the apnea-hipopnea index (AHI) is used to determine the presence and severity of OSA. Muller’s maneuver and DISE are the examination to identify the sites responsible for increase in airflow resistance. DISE technique uses intravena injection of propofol or midazolam to produce obstruction in a “natural sleep” condition followed by nasopharyngolaryngoscopy examination. Conclusion: DISE is considered as a very reliable means to define the level of obstruction during sleeping, thus could help to determine appropriate surgery. Keywords: Drug induced sleep endoscopy, midazolam, propofol, Muller’s maneuver, obstructive sleep apnea, polisomnography

Awake endoscopic assessment of the upper airway during tidal breathing: Definition of anatomical features and comparison with drug‐induced sleep endoscopy

2020 ◽  
Vol 46 (1) ◽  
pp. 234-242
Author(s):  
Eli Van de Perck ◽  
Anneclaire V. Vroegop ◽  
Sara Op de Beeck ◽  
Marijke Dieltjens ◽  
Annelies E. Verbruggen ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Tidal Breathing ◽  
Drug Induced ◽  
Anatomical Features ◽  
Drug Induced Sleep Endoscopy ◽  
Definition Of ◽  
Endoscopic Assessment
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