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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...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: de Vries, Nico
Otros Autores: Piccin, Ottavio, Vanderveken, Olivier M.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: NEW YORK : Thieme Medical Publishers, Incorporated, 2020.
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