Drug-induced sleep endoscopy - Revision history

Tony.Wang at 21:05, 14 April 2025

2025-04-14T21:05:48Z

← Older revision		Revision as of 14:05, 14 April 2025
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	{{Infobox surgical procedure		{{Infobox surgical procedure
	\| anesthesia_type = MAC		\| anesthesia_type = MAC
	\| airway = Natural airway (~~nasal cannula~~)		\| airway = Natural airway (CPAP machine)
	\| lines_access = 1 PIV		\| lines_access = 1 PIV
	\| monitors = Standard ASA		\| monitors = Standard ASA
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	=== Surgical procedure<!-- Briefly describe the major steps of this surgical procedure. --> ===		=== Surgical procedure<!-- Briefly describe the major steps of this surgical procedure. --> ===
	~~Endoscope~~ is inserted after the patient is sedated to observe dynamic airway behavior.		CPAP machine is placed on patient. As the patient is slowly sedated, an endoscope is inserted into CPAP after the patient is sedated to observe dynamic airway behavior.

	== Preoperative management ==		== Preoperative management ==
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	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

	* ~~Nasal cannula~~		* CPAP machine by surgeons
			*Propofol ~20 mg bolus

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
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	* Propofol TIVA		* Propofol TIVA
	** Initial bolus of 20~~-40~~ mg		** Initial bolus of 20 mg
	**Start infusion typically around 125 mcg/kg/min		**Start infusion typically around 125 mcg/kg/min
	** ~~Increase~~ by 25 mcg/kg/min ~~every 2-3 minutes~~		** Give 10 mg every 2 minutes and/or increase infusion by 25 mcg/kg/min

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

Tony.Wang at 15:21, 14 April 2025

2025-04-14T15:21:55Z

@@ Line 56: / Line 56: @@
 === Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
 === Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
@@ Line 90: / Line 91: @@
 === Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===
 === Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
 === Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===
 == References ==
 [[Category:Surgical procedures]]

Tony.Wang at 15:20, 14 April 2025

2025-04-14T15:20:46Z

← Older revision		Revision as of 08:20, 14 April 2025
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	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

	* Propofol ~~infusion~~		* Propofol TIVA
	** ~~Typically start~~ around 125 mcg/kg/min		** Initial bolus of 20-40 mg
			**Start infusion typically around 125 mcg/kg/min
	** Increase by 25 mcg/kg/min every 2-3 minutes		** Increase by 25 mcg/kg/min every 2-3 minutes

Tony.Wang at 14:59, 14 April 2025

2025-04-14T14:59:06Z

← Older revision		Revision as of 07:59, 14 April 2025
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	{{Infobox surgical procedure		{{Infobox surgical procedure
	\| anesthesia_type = MAC		\| anesthesia_type = MAC
	\| airway = Natural airway		\| airway = Natural airway (nasal cannula)
	\| lines_access = 1 PIV		\| lines_access = 1 PIV
	\| monitors = Standard ASA		\| monitors = Standard ASA
Line 9:		Line 9:
	}}		}}

	A drug-induced sleep endoscopy (DISE) is performed for patients with obstructive sleep apnea (OSA), whereby a specialist can use an endoscope to view the upper airway as a patient is put under anesthesia to observe airway obstruction.		A drug-induced sleep endoscopy (DISE) is performed for patients with obstructive sleep apnea (OSA), whereby a specialist can use an endoscope to view the upper airway as the patient is put under anesthesia to observe airway obstruction.

	== Overview ==		== Overview ==
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	=== Surgical procedure<!-- Briefly describe the major steps of this surgical procedure. --> ===		=== Surgical procedure<!-- Briefly describe the major steps of this surgical procedure. --> ===
			Endoscope is inserted after the patient is sedated to observe dynamic airway behavior.

	== Preoperative management ==		== Preoperative management ==
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	\|-		\|-
	\|Cardiovascular		\|Cardiovascular
	\|		\|Watch for pulm HTN
	\|-		\|-
	\|Pulmonary		\|Pulmonary
	\|		\|Watch for sequelae of chronic OSA
	\|-		\|-
	\|Gastrointestinal		\|Gastrointestinal
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	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
			Propofol infusion, propofol boluses, nasal cannula

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
			N/A

	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
			N/A

	== Intraoperative management ==		== Intraoperative management ==

	=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===		=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
			Standard ASA monitors

	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

			* Nasal cannula

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
			Supine

	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

			* Propofol infusion
			** Typically start around 125 mcg/kg/min
			** Increase by 25 mcg/kg/min every 2-3 minutes

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

Tony.Wang at 02:05, 14 April 2025

2025-04-14T02:05:38Z

← Older revision		Revision as of 19:05, 13 April 2025
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	}}		}}

	~~For~~ patients with obstructive sleep apnea (OSA), a specialist can use an endoscope to view the upper airway as a patient is put under anesthesia to observe airway obstruction.		A drug-induced sleep endoscopy (DISE) is performed for patients with obstructive sleep apnea (OSA), whereby a specialist can use an endoscope to view the upper airway as a patient is put under anesthesia to observe airway obstruction.

	== Overview ==		== Overview ==

Tony.Wang: created page

2025-04-14T02:05:09Z

created page

New page

{{Infobox surgical procedure
| anesthesia_type = MAC
| airway = Natural airway
| lines_access = 1 PIV
| monitors = Standard ASA
| considerations_preoperative = Patients with OSA usually obese and may have sequelae
| considerations_intraoperative = Slowly induce anesthesia as surgeons watch airway collapse on endoscope
| considerations_postoperative =
}}

For patients with obstructive sleep apnea (OSA), a specialist can use an endoscope to view the upper airway as a patient is put under anesthesia to observe airway obstruction.

== Overview ==

=== Indications ===
Obstructive sleep apnea (OSA)

=== Surgical procedure ===

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
|
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations ===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Indications
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]