scholarly journals The Effect of the Modified Jaw-Thrust Maneuver on the Depth of Sedation During Drug-Induced Sleep Endoscopy

2019 ◽  
Vol 15 (10) ◽  
pp. 1503-1508
Author(s):  
Donghwi Park ◽  
Jung-Soo Kim ◽  
Sung Jae Heo
Keyword(s):  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Jaw Thrust Maneuver

scholarly journals Drug-induced Sleep Endoscopy: Are there Predictors for Failure of Oral Appliance Treatment?

2021 ◽  
Author(s):  
Christianne C.A.F.M. Veugen ◽  
Rineke M.C. Sanders ◽  
Robert J. Stokroos ◽  
Marcel P. Copper
Keyword(s):  
Oral Appliance ◽  
Mandibular Advancement ◽  
Apnea Hypopnea Index ◽  
Sleep Endoscopy ◽  
Evaluation Tool ◽  
Drug Induced ◽  
Failure Group ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep ◽  
Jaw Thrust Maneuver

Abstract Introduction In the literature, evidence is lacking on the predictive value of drug-induced sleep endoscopy (DISE) for oral appliance treatment (OAT). Objectives The aim of the present study is to evaluate whether DISE with concomitant mandibular advancement maneuver can predict failure of OAT. Methods An observational retrospective study including patients diagnosed with obstructive sleep apnea (OSA) who previously received OAT. Results of DISE were analyzed in a group with documented OAT failure (apnea-hypopnea index [AHI] > 10 events/hour or < 50% reduction) and a group with OAT benefit (AHI <10 events/hour or > 50% reduction). The upper airway was assessed using the velum, oropharynx, tongue base, epiglottis (VOTE) classification. Additionally, a mandibular advancement maneuver, manually protruding the mandible by performing a jaw thrust, was performed to mimic the effect of OAT. Results The present study included 50 patients with OAT failure and 20 patients with OAT benefit. A subgroup analysis of patients with OAT failure and an AHI < 30 events/hour included 26 patients. In the OAT failure group, 74% had a negative jaw thrust maneuver. In the subgroup with an AHI < 30 events/hour, 76.9% had a negative jaw thrust maneuver. In the OAT benefit group, 25% had a negative jaw thrust maneuver (p < 0.001). Conclusions A negative jaw thrust maneuver during DISE can be a valuable predictor for OAT failure, independent of AHI. Drug-induced sleep endoscopy should be considered as a diagnostic evaluation tool before starting OAT.

Convulsions with propofol during drug-induced sleep endoscopy (DISE)

2020 ◽  
pp. 235-239
Author(s):  
Fiorita Antonella ◽  
Di Tiziana ◽  
Galli Jacopo ◽  
Corina Luigi ◽  
Rizzotto Grazia ◽  
...  
Keyword(s):  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy

scholarly journals The Use of Middle Latency Auditory Evoked Potentials (MLAEP) as Methodology for Evaluating Sedation Level in Propofol-Drug Induced Sleep Endoscopy (DISE) Procedure

2021 ◽  
Vol 18 (4) ◽  
pp. 2070
Author(s):  
Michele Arigliani ◽  
Domenico M. Toraldo ◽  
Enrico Ciavolino ◽  
Caterina Lattante ◽  
Luana Conte ◽  
...  
Keyword(s):  
Auditory Evoked Potentials ◽  
Good Alternative ◽  
Auditory Evoked Potential ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Sedation Level ◽  
Drug Induced Sleep Endoscopy ◽  
Potential Index ◽  
Obstructive Sleep ◽  
Middle Latency

To analyze the middle latency auditory evoked potential index (MLAEPi), compared to the standard bispectral index (BIS), as a method for evaluating the sedation level in drug-induced sleep endoscopy (DISE). In this controlled clinical study on a sample of 99 obstructive sleep apnea (OSA) or snoring patients, we compared the MLAEPi with the BIS after propofol infusion during the standard DISE technique in order to define the MLAEPi values within the observational window of the procedure. The DISE procedure was divided into eight steps, and we collected both MLAEPi and BIS data values from the same patient in every step. The MLAEPi showed a faster response than the BIS after propofol infusion during DISE. Therefore, the clinical use of the MLAEPi in evaluating the sedation level seems to be a good alternative to the current technological standards.

scholarly journals Observer Variation in Drug-Induced Sleep Endoscopy: Experienced Versus Nonexperienced Ear, Nose, and Throat Surgeons

SLEEP ◽  
2013 ◽  
Vol 36 (6) ◽  
pp. 947-953 ◽  
Author(s):  
Anneclaire V. M. T. Vroegop ◽  
Olivier M. Vanderveken ◽  
Kristien Wouters ◽  
Evert Hamans ◽  
Marijke Dieltjens ◽  
...  
Keyword(s):  
Observer Variation ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Nose And Throat
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