Difference between revisions of "Drug-induced sleep endoscopy"
From WikiAnesthesia
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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 | * Propofol TIVA | ||
** | ** 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 | ||
Revision as of 08:20, 14 April 2025
Drug-induced sleep endoscopy
| Anesthesia type |
MAC |
|---|---|
| Airway |
Natural airway (nasal cannula) |
| Lines and access |
1 PIV |
| Monitors |
Standard ASA |
| Primary anesthetic considerations | |
| Preoperative |
Patients with OSA usually obese and may have sequelae |
| Intraoperative |
Slowly induce anesthesia as surgeons watch airway collapse on endoscope |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
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
Indications
Obstructive sleep apnea (OSA)
Surgical procedure
Endoscope is inserted after the patient is sedated to observe dynamic airway behavior.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | Watch for pulm HTN |
| Pulmonary | Watch for sequelae of chronic OSA |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Propofol infusion, propofol boluses, nasal cannula
Patient preparation and premedication
N/A
Regional and neuraxial techniques
N/A
Intraoperative management
Monitoring and access
Standard ASA monitors
Induction and airway management
- Nasal cannula
Positioning
Supine
Maintenance and surgical considerations
- Propofol TIVA
- Initial bolus of 20-40 mg
- Start infusion typically around 125 mcg/kg/min
- Increase by 25 mcg/kg/min every 2-3 minutes
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Indications | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Tony Wang