A New Technological Advancement of the Drug-Induced Sleep Endoscopy (DISE) Procedure: The 'All in One Glance' Strategy
| Autor: | Antonio Palumbo, Caterina Arigliani, Lorenzo Galasso, Michele Arigliani, Michele De Benedetto, Caterina Lattante, Filippo Montevecchi, Claudio Vicini, Enrico Ciavolino, Luana Conte, Filippo De Rosa, Domenico Maurizio Toraldo |
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| Přispěvatelé: | Arigliani, M., Toraldo, D. M., Montevecchi, F., Conte, L., Galasso, L., De Rosa, F., Lattante, C., Ciavolino, E., Arigliani, C., Palumbo, A., De Benedetto, M., Vicini, C. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Toxicology and Mutagenesis Sedation Concordance Hypnotics and Sedative lcsh:Medicine Obstructive sleep apnea (OSA) Experimental 5 Video Stream System (5VsEs) Article drug-induced sleep endoscopy (DISE) 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Hypnotics and Sedatives Medical physics 030223 otorhinolaryngology Propofol Sleep Apnea Obstructive propofol business.industry lcsh:R Snoring Public Health Environmental and Occupational Health Endoscopy obstructive sleep apnea (OSA) medicine.disease Bispectral index (BIS) Obstructive sleep apnea bispectral index (BIS) Sleep endoscopy Bispectral index Drug-induced sleep endoscopy (DISE) Female Technological advance medicine.symptom Airway business Sleep 030217 neurology & neurosurgery medicine.drug Human |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 12 International Journal of Environmental Research and Public Health, Vol 17, Iss 4261, p 4261 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17124261 |
| Popis: | To illustrate a new technological advance in the standard drug-induced sleep endoscopy (DISE) model, a new machine was used, the Experimental 5 Video Stream System (5VsEs), which is capable of simultaneously visualizing all the decisional parameters on a single monitor, and recording and storing them in a single uneditable video. The DISE procedure was performed on 48 obstructive sleep apnea (OSA) or snoring patients. The parameters simultaneously recorded on a single monitor are (1) the pharmacokinetics and pharmacodynamics of propofol (through the target controlled infusion (TCI) pump monitor), (2) the endoscopic upper airway view, (3) the polygraphic pattern, and (4) the level of sedation (through the bispectral index (BIS) value). In parallel to the BIS recording, the middle latency auditory evoked potential (MLAEP) was also recorded and provided. Recorded videos from the 5VsEs machine were re-evaluated six months later by the same clinician and a second clinician to evaluate the concordance of the therapeutic indications between the two. After the six-month period, the same operator confirmed all their clinical decisions for 45 out of 48 videos. Three videos were no longer evaluable for technical reasons, so were excluded from further analysis. The comparison between the two operators showed a complete adherence in 98% of cases. The 5VsEs machine provides a multiparametric evaluation setting, defined as an &ldquo all in one glance&rdquo strategy, which allows a faster and more effective interpretation of all the simultaneous parameters during the DISE procedure, improving the diagnostic accuracy, and providing a more accurate post-analysis, as well as legal and research advantages. |
| Databáze: | OpenAIRE |
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