Drug-Induced Sleep Endoscopy Diagnostic and Therapeutic Applications.
The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pres...
Clasificación: | Libro Electrónico |
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Autor principal: | |
Otros Autores: | , |
Formato: | Electrónico eBook |
Idioma: | Inglés |
Publicado: |
NEW YORK :
Thieme Medical Publishers, Incorporated,
2020.
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Temas: | |
Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications
- MedOne Access Information
- Title Page
- Copyright
- Contents
- Videos
- Preface
- Contributors
- 1 Introduction
- 1.1 Obstructive Sleep Apnea
- 2 Historical Perspective
- 2.1 Introduction
- 2.2 The Original Concept
- 2.2.1 Early Work
- 2.2.2 The Origins of DISE
- 2.2.3 History of DISE-Controversies
- 2.3 Interpretation-Grading
- 2.4 Evolving Technology
- 3 Applicability
- 3.1 Introduction
- 3.2 Comparisons of Natural Sleep and Sedation
- 3.2.1 Respiratory Parameters
- 3.2.2 Critical Closing Pressure
- 3.2.3 Other Variables
- 3.3 DISE Validity and Sedation Method
- 4 Classifications Systems
- 4.1 Introduction
- 4.2 Anatomy
- 4.3 Main Elements that a DISE Scoring System Should Have
- 4.4 Common Classification Systems
- 4.4.1 Pringle and Croft
- 4.4.2 The VOTE Classification
- 4.4.3 The NOHL Classification
- 4.4.4 Bachar's Classification
- 4.4.5 Woodson's Classification
- 4.4.6 Other Mixed Classifications
- 4.4.7 Pediatric Classifications
- 4.5 Localization of the Tip of the Endoscope
- 4.6 Images of Collapses
- 4.7 Conclusions
- 5 Indications and Contraindications
- 5.1 Introduction and Definitions
- 5.2 Geographical Differences
- 5.3 DISE in Naive OSA Patients
- 5.4 DISE in Positional OSA
- 5.5 DISE and UA Surgery
- 5.6 DISE in Simple Snorers
- 5.7 DISE after UA Surgery, MAD, and UA Stimulation Treatment Failure
- 5.8 DISE after Weight Loss
- 5.9 DISE and CPAP Failure
- 6 Preparation for DISE: Informed Consent
- 6.1 Introduction
- 7 Organization and Logistics
- 7.1 Introduction
- 7.2 Materials and Methods
- 7.2.1 History of DISE in Our Hospital
- 7.2.2 Patient Indication for DISE
- 7.2.3 Staff
- 7.2.4 Sedation Protocol
- 7.2.5 Logistics
- 7.2.6 DISE Report
- 7.3 Results
- 7.4 Discussion
- 7.5 Conclusion
- 8 Patient Preparation and Positioning
- 8.1 Introduction
- 8.2 Preoperative Preparation
- 8.3 Operation Theatre Preparation
- 8.4 Patient Preparation
- 8.5 Patient Positioning
- 8.6 Positioning of the Endoscopist in Performing DISE
- 8.7 Interventional DISE
- 8.8 Conclusion
- 9 Drugs for DISE
- 9.1 Introduction
- 9.2 Effects of Local Anesthesia and Nasal Decongestion
- 9.3 Drugs Used for DISE
- 9.3.1 Propofol
- 9.3.2 Midazolam
- 9.3.3 Dexmedetomidine
- 9.4 Dosage of Drugs
- 9.4.1 Dosage of Propofol
- 9.4.2 Dosage of Midazolam
- 9.4.3 Dosage of Dexmedetomidine
- 10 An Anesthesiological Point of View
- 10.1 Introduction
- 10.2 General Anesthesia, Sedation and Sleep: Similarities and Differences
- 10.3 Anesthetics and Upper Airway
- 10.4 How to Monitor Sedation
- 10.5 Propofol and TCI Technology
- 10.6 Difficult Airway in OSA: Prediction and Management Strategy
- 10.6.1 Face Mask Ventilation and SADs
- 10.6.2 Direct Laryngoscopy versus Videolaryngoscopy
- 10.7 Perioperative Care
- 10.8 Special Considerations in Pediatric Population
- 10.9 Conclusion