Difference between revisions of "Drug-induced sleep endoscopy"
From WikiAnesthesia
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=== 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. --> === | === 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. --> === | ||
N/A | |||
=== 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. --> === | ||
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=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> === | === Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> === | ||
Typically home | |||
=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> === | === Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> === | ||
Minimal | |||
=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> === | === Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> === | ||
== References == | == References == | ||
[[Category:Surgical procedures]] | [[Category:Surgical procedures]] | ||
Revision as of 08:21, 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
N/A
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
Typically home
Pain management
Minimal
Potential complications
References
Top contributors: Tony Wang