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Organization and logistics of drug-induced sleep endoscopy in a training hospital

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Abstract

Drug-induced sleep endoscopy (DISE) is a rapidly growing method to evaluate airway collapse in patients receiving non-CPAP therapies for sleep-disordered breathing (SDB). The growing number of DISEs has consequences for the organization of clinical protocols. In this paper we present our recent experiences with DISE, performed by an ENT resident, with sedation given by a nurse anesthetist, in an outpatient endoscopy setting, while the staff member/sleep surgeon discusses the findings and the recommended treatment proposal on the same day.

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References

  1. De Vito A, Carrasco Llatas M, Vanni A, Bosi M, Braghiroli A, Campanini A, de Vries N, Hamans E, Hohenhorst W, Kotecha BT, Maurer J, Montevecchi F, Piccin O, Sorrenti G, Vanderveken OM, Vicini C (2014) European position paper on drug-induced sedation endoscopy (DISE). Sleep Breath 18(3):453–465

    Article  PubMed  Google Scholar 

  2. Gislason T, Lindholm CE, Almqvist M, Birring E, Boman G, Eriksson G, Larsson SG, Lidell C, Svanholm H (1988) Uvulopalatopharyngoplasty in the sleep apnea syndrome. Predictors of results. Arch Otolaryngol Head Neck Surg 114(1):45–51

    Article  CAS  PubMed  Google Scholar 

  3. Kezirian EJ, Hohenhorst W, de Vries N (2011) Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryngol 268(8):1233–1236

    Article  PubMed  Google Scholar 

  4. Kezirian EJ, Goldberg AN (2006) Hypopharyngeal surgery in obstructive sleep apnea: an evidence-based medicine review. Arch Otolaryngol Head Neck Surg 132(2):206–213

    Article  PubMed  Google Scholar 

  5. Kezirian EJ, Malhotra A, Goldberg AN, White DP (2010) Changes in obstructive sleep apnea severity, biomarkers, and quality of life after multilevel surgery. Laryngoscope 120(7):1481–1488

    Article  PubMed  Google Scholar 

  6. Ravesloot MJ, van Maanen JP, Dun L, de Vries N (2013) The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature. Sleep Breath 17(1):39–49

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Ravesloot MJL, de Vries N (2011) One hundred consecutive patients undergoing drug-induced sleep endoscopy: results and evaluation. Laryngoscope 121(12):2710–2716

    Article  PubMed  Google Scholar 

  8. Safiruddin F, Koutsourelakis I, de Vries N (2014) Analysis of the influence of head rotation during drug-induced sleep endoscopy in obstructive sleep apnea. Laryngoscope 124(9):2195–2199

    Article  PubMed  Google Scholar 

  9. Safiruddin F, Koutsourelakis I, de Vries N (2015) Upper airway collapse during drug induced sleep endoscopy: head rotation in supine position compared with lateral head and trunk position. Eur Arch Otorhinolaryngol 272:485–488

    Article  PubMed  Google Scholar 

  10. Strollo PJ Jr, Soose RJ, Maurer JT, de Vries N, Cornelius J, Froymovich O, Hanson RD, Padhya TA, Steward DL, Gillespie MB, Woodson BT, Van de Heyning PH, Goetting MG, Vanderveken OM, Feldman N, Knaack L, Strohl KP (2014) Upper-airway stimulation for obstructive sleep apnea. N Engl J Med 370(2):139–149

    Article  CAS  PubMed  Google Scholar 

  11. van Maanen JP, Meester KA, Dun LN, Koutsourelakis I, Witte BI, Laman DM, Hilgevoord AA, de Vries N (2013) The sleep position trainer: a new treatment for positional obstructive sleep apnoea. Sleep Breath. 17(2):771–779

    Article  PubMed  Google Scholar 

  12. van Maanen JP, Richard W, Van Kesteren ER, Ravesloot MJL, Laman DM, Hilgevoord AA, de Vries N (2012) Evaluation of a new simple treatment for positional sleep apnoea patients. J Sleep Res 21(3):322–329

    Article  PubMed  Google Scholar 

  13. Vanderveken OM, Maurer JT, Hohenhorst W, Hamans E, Lin HS, Vroegop AV, Anders C, de Vries N, Van de Heyning PH (2013) Evaluation of drug-induced sleep endoscopy as a patient selection tool for implanted upper airway stimulation for obstructive sleep apnea. J Clin Sleep Med. 9(5):433–438

    PubMed Central  PubMed  Google Scholar 

  14. Vroegop AV, Vanderveken OM, Boudewyns AN, Scholman J, Saldien V, Wouters K, Braem MJ, Van de Heyning PH, Hamans E (2014) Drug-induced sleep endoscopy in sleep-disordered breathing: report on 1249 cases. Laryngoscope 124(3):797–802

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank the nurse anesthetists for their help and valuable support during the DISE procedures; P. Karlas, E. van Aalst and A. van Limburg-Brouwer. Drs. L.B.L. Benoist declares no conflict of interest. Prof. dr. N. de Vries is member of the Medical Advisory Board of NightBalance, consultant of Philips Healthcare and Olympus, researcher for Inspire Medical Systems, member of ReVent’s Medical Advisory Board, and has shares in NightBalance and ReVent.

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None for both L.B.L. Benoist and N. de Vries.

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Correspondence to L. B. L. Benoist.

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Benoist, L.B.L., de Vries, N. Organization and logistics of drug-induced sleep endoscopy in a training hospital. Eur Arch Otorhinolaryngol 272, 2557–2559 (2015). https://doi.org/10.1007/s00405-015-3665-y

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  • DOI: https://doi.org/10.1007/s00405-015-3665-y

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