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

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.

Efficacy of Upper Airway Stimulation on Collapse Patterns Observed during Drug‐Induced Sedation Endoscopy

“…The finding that DISE can be performed safely in the CPAP-intolerant population is consistent with other literature showing few, if any, adverse events during DISE. 18,27 Drug-induced sedation endoscopy is typically performed in the operating room by an otolaryngologist and anesthesiology staff, and patients are continuously monitored with electrocardiogram and pulse oximetry during induced apneas and hypopneas. In the present study, there were no adverse events requiring intervention related to the anesthesia or the procedure itself.…”