scholarly journals Novel Intraoral Negative Airway Pressure in Drug-Induced Sleep Endoscopy with Target-Controlled Infusion

2021 ◽  
Vol Volume 13 ◽  
pp. 2087-2099
Author(s):  
Yu-Hsuan Kuo ◽  
Tien-Jen Liu ◽  
Feng-Hsiang Chiu ◽  
Yi Chang ◽  
Chia-Mo Lin ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Target Controlled Infusion ◽  
Negative Airway Pressure

scholarly journals Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

10.3791/54739 ◽  
2016 ◽  
Author(s):  
Maximilian Traxdorf ◽  
Klaus Tschaikowsky ◽  
Claudia Scherl ◽  
Judith Bauer ◽  
Heinrich Iro ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Endoscopy ◽  
Bispectral Analysis ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Target Controlled Infusion ◽  
Obstructive Sleep

The role of drug-induced sleep endoscopy for positive airway pressure titration – initial results

2021 ◽  
Vol 84/117 (2) ◽  
Author(s):  
Michaela Masárová ◽  
Jana Seko ◽  
Marek Plášek ◽  
Martin Formánek ◽  
Ondřej Jor ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Initial Results

Drug-Induced Sleep Endoscopy with Target-Controlled Infusion Using Propofol in the Management of Patients with Obstructive Sleep Apnea

2018 ◽  
Vol 69 (6) ◽  
pp. 1431-1434
Author(s):  
Dragos Cristian Stefanescu ◽  
Razvan Hainarosie ◽  
Viorel Zainea
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Mandibular Advancement ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Multicenter Studies ◽  
Drug Induced Sleep Endoscopy ◽  
Target Controlled Infusion ◽  
Obstructive Sleep

Although it seems to be an exhausted subject at first glance, the therapeutic approach in obstructive sleep apnea syndrome (O.S.A.S.) is still an open subject. The continuous positive airway pressure (C.P.A.P.) represents the gold standard of therapy in O.S.A.S. However, this therapeutic process with C.P.A.P. has a low rate of compliancy, over 50% of patients quit in the first year of use. Implicitly, surgical solutions or mandibular advancement devices remain an alternative for many of these patients. High costs, complexity and risks associated with surgery have led to the identification of more accurate methods for topographic and functional diagnosis in O.S.A.S. Drug-induced sleep endoscopy (D.I.S.E.) with target-controlled infusion (T.C.I.) using propofol in the management of patients with obstructive sleep apnea is a relatively recently introduced method in Romania. The present paper describes our experience with D.I.S.E for selected patients, who have undergone surgery on the upper airway for O.S.A.S. The D.I.S.E method has led to the modification of the initial surgical plan in over 60% of patients with multi-level obstruction. Under these conditions, the surgical success rate in patients of the study increased to 80% at 6 months. Considering the specific endowment of each tertiary sleep center, the presence or absence of an operator block and the anesthetist�s experience with target-controlled (T.C.I.) infusion using propofol, more extensive and multicenter studies are needed for standardization of D.I.S.E.

Drug-induced sleep endoscopy with target-controlled infusion using propofol and monitored depth of sedation to determine treatment strategies in obstructive sleep apnea

2017 ◽  
Vol 21 (3) ◽  
pp. 737-744 ◽  
Author(s):  
Clemens Heiser ◽  
Phillippe Fthenakis ◽  
Alexander Hapfelmeier ◽  
Sebastian Berger ◽  
Benedikt Hofauer ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Strategies ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Target Controlled Infusion ◽  
Obstructive Sleep

scholarly journals Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Jaroslava Hybášková ◽  
Ondřej Jor ◽  
Vilém Novák ◽  
Karol Zeleník ◽  
Petr Matoušek ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Apnoea ◽  
Treatment Concept ◽  
Sleep Endoscopy ◽  
Upper Airways ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep

The present study evaluated whether drug-induced sleep endoscopy (DISE) helps identify the site of obstruction in patients with obstructive sleep apnoea (OSA). A total of 51 consecutive patients with polysomnography-confirmed OSA were enrolled in this prospective study. The presumed site of obstruction was determined according to history, otorhinolaryngologic examination, and polysomnography and a therapeutic plan designed before DISE. In 11 patients with severe OSA and/or previously failed continuous positive airway pressure (CPAP) treatment, DISE with simultaneous CPAP was performed. Multilevel collapse was noted in 49 patients (96.1%). The most frequent multilevel collapse was palatal, oropharyngeal, and tongue base collapse (n=17, 33.3%), followed by palatal and oropharyngeal collapse (n=12, 23.5%). Pathology of the larynx (epiglottis) was observed in 16 patients (31.4%). The laryngeal obstruction as a reason for intolerance of CPAP was observed in 3/11 (27.3%) patients. After DISE, the surgical plan was changed in 31 patients (60.8%). The results indicate that DISE helps identify the site of obstruction in the upper airways in patients with OSA more accurately and that the larynx plays an important role in OSA.

Impact of continuous positive airway pressure in patients with obstructive sleep apnea during drug-induced sleep endoscopy

2017 ◽  
Vol 42 (6) ◽  
pp. 1218-1223 ◽  
Author(s):  
C. Torre ◽  
S.Y. Liu ◽  
C.A. Kushida ◽  
V. Nekhendzy ◽  
L.K. Huon ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep

Can drug-induced sleep endoscopy (DISE) predict compliance with positive airway pressure therapy? A pilot study

2021 ◽  
Author(s):  
Mariane S. Yui ◽  
Quedayr Tominaga ◽  
Bruno C. P. Lopes ◽  
Alan L. Eckeli ◽  
Leila A. de Almeida ◽  
...  
Keyword(s):  
Pilot Study ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Drug Induced Sleep Endoscopy

Drug-induced sleep endoscopy: conventional versus target controlled infusion techniques—a randomized controlled study

2010 ◽  
Vol 268 (3) ◽  
pp. 457-462 ◽  
Author(s):  
Andrea De Vito ◽  
Vanni Agnoletti ◽  
Stefano Berrettini ◽  
Emanuele Piraccini ◽  
Armando Criscuolo ◽  
...  
Keyword(s):  
Randomized Controlled Study ◽  
Controlled Study ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Randomized Controlled ◽  
Drug Induced Sleep Endoscopy ◽  
Target Controlled Infusion

Drug-induced sleep endoscopy as a new modality for continuous positive airway pressure titration

2021 ◽  
Vol 70 (3) ◽  
pp. 403
Author(s):  
NasefAbd-Elsalam Rezk ◽  
Mohamed Algamal ◽  
Samar Mohy ◽  
NesreenE Morsy ◽  
MohamedA Abo Shehata
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy

scholarly journals The Emerging Role of Drug-Induced Sleep Endoscopy in the Management of Obstructive Sleep Apnea

2020 ◽  
Author(s):  
Crystal SJ Cheong ◽  
Weiqiang Loke ◽  
Mark Kim Thye Thong ◽  
Song Tar Toh ◽  
Chi-Hang Lee
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep

Obstructive sleep apnea is a prevalent sleep disorder characterized by partial or complete obstruction of the upper airway. Continuous positive airway pressure is the first-line therapy for most patients, but compliance is often poor. Alternative treatment options such as mandibular advancement devices, positional therapy and surgical interventions including upper airway stimulation target different levels and patterns of obstruction with varying degrees of success. Drug-induced sleep endoscopy enables visualization of upper airway obstruction under conditions mimicking sleep. In an era of precision medicine, this additional information may facilitate better decision-making when prescribing alternative treatment modalities, with the hope of achieving better compliance and/or success rates. This review discusses the current knowledge and evidence on the role of drug-induced sleep endoscopy in the non-positive airway pressure management of obstructive sleep apnea.

Sign in / Sign up

Export Citation Format

Share Document