Verfügbarkeit: Drug-induced sleep endoscopy

Drug-induced sleep endoscopy: diagnostic and therapeutic applications

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Bibliographische Detailangaben
Weitere Verfasser:	Vries, Nico de (HerausgeberIn), Piccin, Ottavio (HerausgeberIn), Vanderveken, Olivier (HerausgeberIn), Vicini, Claudio (HerausgeberIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Stuttgart Thieme [2021]
Ausgabe:	[1. Auflage]
Schlagworte:	Sleep Apnea, Obstructive - therapy Endoscopy - methods Narkose Endoskopie drug-induced sleep endoscopy DISE obstructive sleep apnea syndrome snoring sleep disorrdered breathing OSAS upper airway obstruction positional therapy continuous positive airway pressure CPAP endoscopy otolaryngology Chirurgie
Online-Zugang:	Inhaltstext Inhaltsverzeichnis
Beschreibung:	xv, 132 Seiten 81 Illustrationen, Diagramme 27 cm x 19.5 cm Enthält: 1 Online-Ressource
ISBN:	9783132403468 3132403466

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Datensatz im Suchindex

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adam_text	CONTENTS VIDEOS ......................................................................................................................................................... XI PREFACE .................................................................................................................................................... XII CONTRIBUTORS ........................................................................................................................................ XIII 1 INTRODUCTION ....................................................................................................................................... 1 OTTAVIO PICCIN, CLAUDIO VICINI, NICO DE VRIES, AND OLIVIER M. VANDERVEKEN 1.1 OBSTRUCTIVE SLEEP APNEA ................................. 1 2 HISTORICAL PERSPECTIVE ....................................................................................................................... 3 BHIK KOTECHA AND IVOR KWAME 2.1 INTRODUCTION ....................................... .............. 3 2.2.3 HISTORY OF DISE-CONTROVERSIES ............ 3 2.2 THE ORIGINAL CONCEPT ........................ .............. 3 2.3 INTERPRETATION-GRADING .......................... 5 2.2.1 EARLY WORK ...................................... .............. 3 2.4 EVOLVING TECHNOLOGY ............................... 6 2.2.2 THE ORIGINS OF DISE .......................... .............. 3 3 APPLICABILITY ........................................................................................................................................ 8 MARINA CARRASCO LLATAS 3.1 INTRODUCTION ....................................................... 8 3.2 COMPARISONS OF NATURAL SLEEP AND SEDATION 8 3.2.1 RESPIRATORY PARAMETERS ................................. 8 3.2.2 CRITICAL CLOSING PRESSURE .............................. 9 3.2.3 OTHER VARIABLES ............................................ 10 3.3 DISE VALIDITY AND SEDATION METHOD ................ 10 4 CLASSIFICATIONS SYSTEMS ................................................................................................................... 12 MARINA CARRASCO LLATAS 4.1 INTRODUCTION ....................................................... 12 4.2 ANATOMY .............................................................. 12 4.3 MAIN ELEMENTS THAT A DISE SCORING SYSTEM SHOULD HAVE ....................................................... 13 4.4 COMMON CLASSIFICATION SYSTEMS .................... 14 4.4.1 PRINGLE AND CROFT .......................................... 14 4.4.2 THE VOTE CLASSIFICATION ................................ 14 4.4.3 THE NOHL CLASSIFICATION ................................ 14 4.4.4 BACHAR * S CLASSIFICATION .................................. 15 4.4.5 WOODSON * S CLASSIFICATION .............................. 15 4.4.6 OTHER MIXED CLASSIFICATIONS .......................... 16 4.4.7 PEDIATRIC CLASSIFICATIONS ................................ 16 4.5 LOCALIZATION OF THE TIP OF THE ENDOSCOPE ... 17 4.6 IMAGES OF COLLAPSES .......................................... 17 4.7 CONCLUSIONS ......................................................... 18 5 INDICATIONS AND CONTRAINDICATIONS ............................................................................................... 20 NICO DE VRIES AND OLIVIER M. VANDERVEKEN 5.1 INTRODUCTION AND DEFINITIONS 20 5.2 GEOGRAPHICAL DIFFERENCES ................................. 20 V 5.3 DISE IN NAIVE OSA PATIENTS ................................ 21 5.4 DISE IN POSITIONAL OSA ...................................... 21 5.5 DISE AND UA SURGERY ........................................ 21 5.6 DISE IN SIMPLE SNORERS ...................................... 21 5.7 DISE AFTER UA SURGERY. MAD. AND UA STIMULATION TREATMENT FAILURE ......................... 21 5.8 DISE AFTER WEIGHT LOSS ...................................... 22 5.9 DISE AND CPAP FAILURE ...................................... 22 6 PREPARATION FOR DISE: INFORMED CONSENT ...................................................................................... 23 MARC BLUMEN 6.1 INTRODUCTION ....................................................... 23 7 ORGANIZATION AND LOGISTICS .............................................................................................................. 24 LINDA BENOIST AND NICO DE VRIES 7.1 INTRODUCTION .............................................. 24 7.2.5 7.2.6 LOGISTICS .................................. DISE REPORT ............................ ...................... 25 ...................... 25 7.2 MATERIALS AND METHODS ........................... 24 7.3 RESULTS ........................................ ...................... 25 7.2.1 HISTORY OF DISE IN OUR HOSPITAL ............ 24 7.2.2 PATIENT INDICATION FOR DISE .................... 24 7.4 DISCUSSION ................................. ...................... 25 7.2.3 STAFF ........................................................ 24 7.2.4 SEDATION PROTOCOL .................................. 25 7.5 CONCLUSION ................................. ...................... 26 8 PATIENT PREPARATION AND POSITIONING ............................................................................................ 27 SRINIVAS KISHORE S. 8.1 INTRODUCTION .............................................. 27 8.6 POSITIONING OF THE ENDOSCOPIST IN PERFORMING DISE .......................................... 28 8.2 PREOPERATIVE PREPARATION ........................ 27 8.7 INTERVENTIONAL DISE ..................................... 28 8.3 OPERATION THEATRE PREPARATION ............. 27 8.8 CONCLUSION ..................................................... 29 8.4 PATIENT PREPARATION ................................. 28 8.5 PATIENT POSITIONING ................................... 28 9 DRUGS FOR DISE..................................................................................................................................... 30 EVERT HAMANS AND MARINA CARRASCO LLATAS 9.1 INTRODUCTION ..................................................... 30 9.3.3 DEXMEDETOMIDINE ............................... ........ 31 9.2 EFFECTS OF LOCAL ANESTHESIA AND NASAL DECONGESTION ................................................... 30 9.4 DOSAGE OF DRUGS ..................................... ........ 31 9.3 DRUGS USED FOR DISE ........................................ 30 9.4.1 DOSAGE OF PROPOFOL .............................. ........ 31 9.4.2 DOSAGE OF MIDAZOLAM .......................... ........ 32 9.3.1 PROPOFOL ........................................................ 31 9.4.3 DOSAGE OF DEXMEDETOMIDINE ............ ........ 32 9.3.2 MIDAZOLAM .................................................. 31 10 AN ANESTHESIOLOGICAL POINT OF VIEW .............................................................................................. 33 R.M. CORSO, MASSIMILIANO SORBELLO, AND IDA DI GIACINTO 10.1 INTRODUCTION 33 10.2 GENERAL ANESTHESIA, SEDATION AND SLEEP: SIMILARITIES AND DIFFERENCES ............................. 33 VI 10.3 10.4 ANESTHETICS AND UPPER AIRWAY .................... HOW TO MONITOR SEDATION ............................. 34 35 10.6.2 DIRECT LARYNGOSCOPY VERSUS VIDEOLARYNGOSCOPY .................................... 36 10.5 PROPOFOL AND TCI TECHNOLOGY ........................ 36 10.7 PERIOPERATIVE CARE ........................................ 37 10.6 DIFFICULT AIRWAY IN OSA: PREDICTION AND MANAGEMENT STRATEGY ................................... 36 10.8 SPECIAL CONSIDERATIONS IN PEDIATRIC POPULATION ....................................................... 38 10.6.1 FACE MASK VENTILATION AND SADS ................ 36 10.9 CONCLUSION ....................................................... 38 11 WORK IN PROGRESS: A PREDICTION MODEL FOR DISE AS SELECTION TOOL FOR MAD AND POSITIONAL THERAPY .............................................................................................................. 41 PATTY E. VONK, ANNEMIEKE M.E.H. BEELEN, AND NICO DE VRIES 11.1 INTRODUCTION ....................................................... 41 11.2 METHODS ............................................................. 42 11.2.1 PATIENTS .......................................................... 42 11.2.2 DISE PROCEDURE ............................................... 42 11.2.3 CLASSIFICATION SYSTEM ..................................... 42 11.2.4 STATISTICAL ANALYSIS ........................................ 43 11.3 RESULTS .................................................................. 43 11.4 DISCUSSION ............................................................ 43 11.5 CONCLUSION AND FUTURE PERSPECTIVES ............... 46 12 COMPLICATIONS OF DISE ...................................................................................................................... 48 IVOR KWAME AND BHIK KOTECHA 12.1 INTRODUCTION ....................................................... 48 12.2 BACKGROUND ......................................................... 48 12.3 COMPLICATIONS ..................................................... 48 12.3.1 EQUIPMENT FACTORS ......................................... 48 12.3.2 ANESTHETIC FACTORS ........................................ 49 12.3.3 PATIENT FACTORS .............................................. 49 12.3.4 RECOMMENDATIONS ........................................ 49 12.4 DISCUSSION ........................................................... 50 13 DISE AND TREATMENT OUTCOME ........................................................................................................ 52 ANNEDAIRE V.M.T. VROEGOP, OLIVIER M. VANDERVEKEN, LOANNIS KOUTSOURELAKIS, MADELINE J.L. RAVESLOOT, AND NICO DE VRIES 13.1 INTRODUCTION ....................................................... 52 13.2 PREDICTIVE VALUE ................................................ 52 13.3 TREATMENT OUTCOME PER MODALITY ................ 52 13.3.1 PHARYNGEAL SURGERY ...................................... 52 14 DISE AND POSITION-DEPENDENT OSA ............ MADELINE J.L. RAVESLOOT, PATTY E. VONK, AND NICO DE VRIES 14.1 POSITIONAL SLEEP APNEA ..................................... 55 14.2 MANAGEMENT OF POSA ..................................... 57 14.3 CHARACTERISTICS OF PATIENTS WITH POSA ......... 58 13.3.2 HYPOGLOSSAL NERVE THERAPY .......................... 53 13.3.3 TRANSORAL ROBOTIC SURGERY ............................ 53 13.3.4 MAXILLOMANDIBULAR ADVANCEMENT (MMA). . 53 13.3.5 POSITIONAL THERAPY ......................................... 53 13.4 DISE IN SURGICAL FAILURES ................................... 53 55 14.4 DISE AND POSA ................................................... 58 14.5 SURGERY AND POSA .............................................. 59 VII 15 SIGNIFICANCE OF COMPLETE CONCENTRIC COLLAPSE OF THE PALATE 62 ELI VAN DE PERCK AND OLIVIER M. VANDERVEKEN 15.1 INTRODUCTION 62 15.2 PATHOPHYSIOLOGY: UPPER AIRWAY SHAPE AND COLLAPSIBILITY 62 15.3 PREDICTIVE VALUE ON TREATMENT OUTCOME ... 63 15.3.1 PHARYNGEAL SURGERY 63 15.3.2 UPPER AIRWAY STIMULATION (UAS) 15.3.3 MANDIBULAR ADVANCEMENT DEVICE TREATMENT 15.3.4 MAXILLOMANDIBULAR ADVANCEMENT SURGERY 15.4 SUMMARY 63 64 64 64 16 EPIGLOTTIC COLLAPSE 66 PATTY E. VONK, MADELINE J.L. RAVESLOOT, AND NICO DE VRIES FILIPPO MONTEVECCHI, GIOVANNI CAMMAROTO, AND RICCARDO GOBBI 16.1 INTRODUCTION ................................................. 66 16.3.1 DISE FINDINGS .............................................. 68 16.2 MATERIAL AND METHODS ............................... 67 16.4 DISCUSSION ........................................ ................ 69 16.2.1 PATIENTS .................................................... 67 16.5 CONCLUSION ........................................ ................ 69 16.2.2 DEFINITIONS .............................................. 67 16.2.3 DISE PROCEDURE ........................................ 67 16.6 CLINICAL RELEVANCE ........................... ................ 69 16.2.4 PATIENT POSITIONING .................................. 68 16.3 RESULTS ............................................................ 68 17 COMMON MISTAKES IN DISE ......... ................ 71 17.1 INTRODUCTION ....................................................... 71 17.6TARGET EVENTS ................................... .............. 72 17.2 SETTING AND PREOPERATIVE INVESTIGATIONS ... 71 17.7 CLASSIFICATION SYSTEM ...................... .............. 73 17.3 TECHNICAL EQUIPMENT ........................................ 71 17.8 COUNSELING AFTER DISE...................... .............. 73 17.4 PATIENT POSITIONING AND DIAGNOSTIC MANEUVERS ......................................................... 72 17.9 CONCLUSION .......................................... .............. 73 17.5 OBSERVATION WINDOW ........................................ 72 18 DIAGNOSTIC AND THERAPEUTIC APPLICATIONS OR A GUIDE FOR CLINICAL PRACTICE 74 CLEMENS HEISER AND JOACHIM T. MAURER 18.1 HISTORY ................................................................ 74 18.3.1 ANATOMICAL PATTERN AND LEVEL OF OBSTRUCTIONS IN THE PATHOPHYSIOLOGY 18.1.1 HISTORY ABOUT HYPOGLOSSAL NERVE STIMULATION .................................................. 74 OF OSA ............................................................ 76 18.1.2 HISTORY ABOUT DISE IN SELECTIVE 18.4 DISE IN HNS AS A SCREENING TOOL * PROCEDURE HN STIMULATION * THE KEY FACTOR TO FOR BEST PRACTICE ................................................ 78 SUCCESS ........................................................ 74 18.5 ANALYZING THE RESULTS OF DISE IN PATIENTS 18.2 HYPOGLOSSAL NERVE ANATOMY ........................ 75 WITH BREATHING-SYNCHRONIZED HNS ................ 78 18.3 PATHOPHYSIOLOGY AND MECHANISMS OF STIMULATION ....................................................... 76 18.6 USING DISE AS A TITRATION TOOL FOR HYPOGLOSSAL NERVE STIMULATION (HNS) ......... 79 VIII 19 DISE AND TREATMENT WITH MANDIBULAR ADVANCEMENT DEVICES IN OBSTRUCTIVE SLEEP APNEA PATIENTS ..................................................................................................................... 82 PATTY E. VONK, MADELINE J.L. RAVESLOOT, OLIVIER M. VANDERVEKEN, ANNECLAIRE V.M.T VROEGOP, AND NICO DE VRIES 19.1 INTRODUCTION ................................................ 82 19.4 THERMOPLASTIC APPLIANCES ............................... 84 19.2 MAD TREATMENT SUCCESS .......................... 82 19.5 SIMULATION BITE AND A REMOTELY CONTROLLED MANDIBULAR POSITIONER ..................................... 84 19.3 DISE AS A SCREENING TOOL FOR MAD TREATMENT ..................................................... 82 19.6 CONCLUSIONS ......................................................... 85 20 THE USE OF DISE TO DETERMINE CANDIDATES FOR UPPER AIRWAY STIMULATION ........................... 87 ADRIAN A. ONG AND M. BOYD GILLESPIE 20.1 INTRODUCTION ....................................................... 87 20.2 UPPER AIRWAY STIMULATION (UAS) .................... 87 20.2.1 HISTORY OF UAS .............................................. 87 20.2.2 UAS COMPONENTS .......................................... 87 20.2.3 MECHANISM OF UAS ........................................ 88 20.2.4 SELECTION CRITERIA FOR UAS ............................ 89 20.2.5 OUTCOMES OF UAS .......................................... 89 20.3 CLINICAL HISTORY AND DATA ................................. 90 20.3.1 DISE FOR UAS CANDIDACY ................................ 90 20.3.2 IMPROVING UAS EFFICACY USING DISE ............ 91 20.4 CONCLUSIONS ......................................................... 92 21 PEDIATRIC SLEEP ENDOSCOPY .............................................................................................................. 93 AN BOUDEWYNS AND PALMA BENEDEK 21.1 INTRODUCTION ....................................................... 93 21.2 SITES OF POTENTIAL UA OBSTRUCTION IN CHILDREN ........................................................... 93 21.2.1 THE NOSE AND NASOPHARYNX .......................... 93 21.2.2 OROPHARYNX: TONSILS AND LATERAL PHARYNGEAL WALL ............................................ 95 21.2.3 TONGUE BASE .................................................. 95 21.2.4 EPIGLOTTIS ........................................................ 95 21.2.5 SUPRAGLOTTIS-SLEEP-DEPENDENT OR LATE ONSET LARYNGOMALACIA .................................. 95 21.2.6 EVALUATION OF THE LOWER AIRWAYS ................ 95 21.3 DRUG USED FOR PEDIATRIC DISE ............................ 95 21.4 INDICATIONS FOR DISE .......................................... 99 21.4.1 COMMONLY ACCEPTED INDICATIONS FOR DISE IN CHILDREN ......................................................... 99 21.4.2 EXPANDING INDICATIONS FOR PEDIATRIC DISE ... 100 21.5 DISE PROTOCOL ..................................................... 101 21.6 DISE SCORING SYSTEMS ......................................... 101 21.7 OUTCOME OF DISE-DIRECTED SURGERY IN CHILDREN ................................................................ 101 21.7.1 SURGICALLY NAIVE, HEALTHY PATIENTS WITH OSAS .............................................................. 101 21.7.2 CHILDREN WITH PERSISTENT OSAS WITH/WITHOUT COMORBIDITY .......................... 102 21.7.3 CHILDREN WITH HYPOTONIA ............................... 103 21.7.4 CHILDREN WITH DOWN SYNDROME .................... 103 21.8 CLINICAL CASE SCENARIOS ....................................... 103 21.8.1 CASEL ........................................................... 103 21.8.2 CASE 2 ........................................................... 103 21.9 ROLE OF DISE IN THE MULTIDISCIPLINARY AND INTEGRATED APPROACH TO PEDIATRIC OSAS .... 105 IX 22 22.1 22.1.1 22.1.2 22.1.3 22.1.4 23 23.1 23.2 23.2.1 23.2.2 24 24.1 24.1.1 24.1.2 24.1.3 24.1.4 24.1.5 24.1.6 DISE IN CHILDREN WITH CRANIOFACIAL ANOMALIES 109 POO/O G. MORSELLI, ROSSELLA SGARZANI, VALENTINA PINTO, ANDREA MARZETTI, FRANCESCO M. PASSALI, NADIA MANSOURI, P. VIJAYA KRISHNAN, VIKAS AGRAWAL, SRINIVAS KISHORE S, AND OTTAVIO PICCIN INTRODUCTION 109 22.2 TYPES OF CRANIOFACIAL DISEASES AND OSA .... 109 CLEFT LIP AND/OR PALATE 110 SYNOSTOSES 110 HYPOPLASIA 110 22.3 RATIONALE FOR DISE IN CHILDREN WITH CRANIOFACIAL ANOMALIES CONCLUSIONS ILL 112 ADVANCED TECHNIQUE 114 GIOVANNI SORRENTI, GIUSEPPE CACCAMO, IRENE PELLIGRA, LUCA BURGIO, RICCARDO ALBERTINI, ELEONORA CIOCCOLONI, PAOLO COZZOLINO, AND OTTAVIO PICCIN INTRODUCTION INDICATIONS ASSESSMENT BEFORE A-DISE TITRATION APPROACH FOR ORAL DEVICE SIMULATOR 114 23.2.3 A-DISE PROTOCOL 115 23.3 POTENTIAL ADVANTAGES FROM CONVENTIONAL TECHNIQUE 117 114 114 FUTURE PERSPECTIVES 11 9 A. SIMON CARNEY, PETER CATCHESIDE, AND ALEX WALL PATIENT PHENOTYPING/ENDOTYPING 119 24.2 DEFICIENT UPPER AIRWAY ANATOMY 119 24,3 MUSCLE RESPONSIVENESS 120 24,4 LOOP GAIN ...................................................... 120 RESPIRATORY AROUSAL THRESHOLD 121 24.5 PALM SCALE FOR PATIENT PHENOTYPING 121 PHENOTYPING/ENDOTYPING CONCLUSIONS 121 ANALYSIS OF AIRFLOW SHAPE 121 RADIOLOGICAL SLEEP ASSESSMENT 122 REAL-TIME SLEEP VIDEOMANOMETRY 123 CONCLUSIONS 126 INDEX 129 X
adam_txt	CONTENTS VIDEOS . XI PREFACE . XII CONTRIBUTORS . XIII 1 INTRODUCTION . 1 OTTAVIO PICCIN, CLAUDIO VICINI, NICO DE VRIES, AND OLIVIER M. VANDERVEKEN 1.1 OBSTRUCTIVE SLEEP APNEA . 1 2 HISTORICAL PERSPECTIVE . 3 BHIK KOTECHA AND IVOR KWAME 2.1 INTRODUCTION . . 3 2.2.3 HISTORY OF DISE-CONTROVERSIES . 3 2.2 THE ORIGINAL CONCEPT . . 3 2.3 INTERPRETATION-GRADING . 5 2.2.1 EARLY WORK . . 3 2.4 EVOLVING TECHNOLOGY . 6 2.2.2 THE ORIGINS OF DISE . . 3 3 APPLICABILITY . 8 MARINA CARRASCO LLATAS 3.1 INTRODUCTION . 8 3.2 COMPARISONS OF NATURAL SLEEP AND SEDATION 8 3.2.1 RESPIRATORY PARAMETERS . 8 3.2.2 CRITICAL CLOSING PRESSURE . 9 3.2.3 OTHER VARIABLES . 10 3.3 DISE VALIDITY AND SEDATION METHOD . 10 4 CLASSIFICATIONS SYSTEMS . 12 MARINA CARRASCO LLATAS 4.1 INTRODUCTION . 12 4.2 ANATOMY . 12 4.3 MAIN ELEMENTS THAT A DISE SCORING SYSTEM SHOULD HAVE . 13 4.4 COMMON CLASSIFICATION SYSTEMS . 14 4.4.1 PRINGLE AND CROFT . 14 4.4.2 THE VOTE CLASSIFICATION . 14 4.4.3 THE NOHL CLASSIFICATION . 14 4.4.4 BACHAR * S CLASSIFICATION . 15 4.4.5 WOODSON * S CLASSIFICATION . 15 4.4.6 OTHER MIXED CLASSIFICATIONS . 16 4.4.7 PEDIATRIC CLASSIFICATIONS . 16 4.5 LOCALIZATION OF THE TIP OF THE ENDOSCOPE . 17 4.6 IMAGES OF COLLAPSES . 17 4.7 CONCLUSIONS . 18 5 INDICATIONS AND CONTRAINDICATIONS . 20 NICO DE VRIES AND OLIVIER M. VANDERVEKEN 5.1 INTRODUCTION AND DEFINITIONS 20 5.2 GEOGRAPHICAL DIFFERENCES . 20 V 5.3 DISE IN NAIVE OSA PATIENTS . 21 5.4 DISE IN POSITIONAL OSA . 21 5.5 DISE AND UA SURGERY . 21 5.6 DISE IN SIMPLE SNORERS . 21 5.7 DISE AFTER UA SURGERY. MAD. AND UA STIMULATION TREATMENT FAILURE . 21 5.8 DISE AFTER WEIGHT LOSS . 22 5.9 DISE AND CPAP FAILURE . 22 6 PREPARATION FOR DISE: INFORMED CONSENT . 23 MARC BLUMEN 6.1 INTRODUCTION . 23 7 ORGANIZATION AND LOGISTICS . 24 LINDA BENOIST AND NICO DE VRIES 7.1 INTRODUCTION . 24 7.2.5 7.2.6 LOGISTICS . DISE REPORT . . 25 . 25 7.2 MATERIALS AND METHODS . 24 7.3 RESULTS . . 25 7.2.1 HISTORY OF DISE IN OUR HOSPITAL . 24 7.2.2 PATIENT INDICATION FOR DISE . 24 7.4 DISCUSSION . . 25 7.2.3 STAFF . 24 7.2.4 SEDATION PROTOCOL . 25 7.5 CONCLUSION . . 26 8 PATIENT PREPARATION AND POSITIONING . 27 SRINIVAS KISHORE S. 8.1 INTRODUCTION . 27 8.6 POSITIONING OF THE ENDOSCOPIST IN PERFORMING DISE . 28 8.2 PREOPERATIVE PREPARATION . 27 8.7 INTERVENTIONAL DISE . 28 8.3 OPERATION THEATRE PREPARATION . 27 8.8 CONCLUSION . 29 8.4 PATIENT PREPARATION . 28 8.5 PATIENT POSITIONING . 28 9 DRUGS FOR DISE. 30 EVERT HAMANS AND MARINA CARRASCO LLATAS 9.1 INTRODUCTION . 30 9.3.3 DEXMEDETOMIDINE . . 31 9.2 EFFECTS OF LOCAL ANESTHESIA AND NASAL DECONGESTION . 30 9.4 DOSAGE OF DRUGS . . 31 9.3 DRUGS USED FOR DISE . 30 9.4.1 DOSAGE OF PROPOFOL . . 31 9.4.2 DOSAGE OF MIDAZOLAM . . 32 9.3.1 PROPOFOL . 31 9.4.3 DOSAGE OF DEXMEDETOMIDINE . . 32 9.3.2 MIDAZOLAM . 31 10 AN ANESTHESIOLOGICAL POINT OF VIEW . 33 R.M. CORSO, MASSIMILIANO SORBELLO, AND IDA DI GIACINTO 10.1 INTRODUCTION 33 10.2 GENERAL ANESTHESIA, SEDATION AND SLEEP: SIMILARITIES AND DIFFERENCES . 33 VI 10.3 10.4 ANESTHETICS AND UPPER AIRWAY . HOW TO MONITOR SEDATION . 34 35 10.6.2 DIRECT LARYNGOSCOPY VERSUS VIDEOLARYNGOSCOPY . 36 10.5 PROPOFOL AND TCI TECHNOLOGY . 36 10.7 PERIOPERATIVE CARE . 37 10.6 DIFFICULT AIRWAY IN OSA: PREDICTION AND MANAGEMENT STRATEGY . 36 10.8 SPECIAL CONSIDERATIONS IN PEDIATRIC POPULATION . 38 10.6.1 FACE MASK VENTILATION AND SADS . 36 10.9 CONCLUSION . 38 11 WORK IN PROGRESS: A PREDICTION MODEL FOR DISE AS SELECTION TOOL FOR MAD AND POSITIONAL THERAPY . 41 PATTY E. VONK, ANNEMIEKE M.E.H. BEELEN, AND NICO DE VRIES 11.1 INTRODUCTION . 41 11.2 METHODS . 42 11.2.1 PATIENTS . 42 11.2.2 DISE PROCEDURE . 42 11.2.3 CLASSIFICATION SYSTEM . 42 11.2.4 STATISTICAL ANALYSIS . 43 11.3 RESULTS . 43 11.4 DISCUSSION . 43 11.5 CONCLUSION AND FUTURE PERSPECTIVES . 46 12 COMPLICATIONS OF DISE . 48 IVOR KWAME AND BHIK KOTECHA 12.1 INTRODUCTION . 48 12.2 BACKGROUND . 48 12.3 COMPLICATIONS . 48 12.3.1 EQUIPMENT FACTORS . 48 12.3.2 ANESTHETIC FACTORS . 49 12.3.3 PATIENT FACTORS . 49 12.3.4 RECOMMENDATIONS . 49 12.4 DISCUSSION . 50 13 DISE AND TREATMENT OUTCOME . 52 ANNEDAIRE V.M.T. VROEGOP, OLIVIER M. VANDERVEKEN, LOANNIS KOUTSOURELAKIS, MADELINE J.L. RAVESLOOT, AND NICO DE VRIES 13.1 INTRODUCTION . 52 13.2 PREDICTIVE VALUE . 52 13.3 TREATMENT OUTCOME PER MODALITY . 52 13.3.1 PHARYNGEAL SURGERY . 52 14 DISE AND POSITION-DEPENDENT OSA . MADELINE J.L. RAVESLOOT, PATTY E. VONK, AND NICO DE VRIES 14.1 POSITIONAL SLEEP APNEA . 55 14.2 MANAGEMENT OF POSA . 57 14.3 CHARACTERISTICS OF PATIENTS WITH POSA . 58 13.3.2 HYPOGLOSSAL NERVE THERAPY . 53 13.3.3 TRANSORAL ROBOTIC SURGERY . 53 13.3.4 MAXILLOMANDIBULAR ADVANCEMENT (MMA). . 53 13.3.5 POSITIONAL THERAPY . 53 13.4 DISE IN SURGICAL FAILURES . 53 55 14.4 DISE AND POSA . 58 14.5 SURGERY AND POSA . 59 VII 15 SIGNIFICANCE OF COMPLETE CONCENTRIC COLLAPSE OF THE PALATE 62 ELI VAN DE PERCK AND OLIVIER M. VANDERVEKEN 15.1 INTRODUCTION 62 15.2 PATHOPHYSIOLOGY: UPPER AIRWAY SHAPE AND COLLAPSIBILITY 62 15.3 PREDICTIVE VALUE ON TREATMENT OUTCOME . 63 15.3.1 PHARYNGEAL SURGERY 63 15.3.2 UPPER AIRWAY STIMULATION (UAS) 15.3.3 MANDIBULAR ADVANCEMENT DEVICE TREATMENT 15.3.4 MAXILLOMANDIBULAR ADVANCEMENT SURGERY 15.4 SUMMARY 63 64 64 64 16 EPIGLOTTIC COLLAPSE 66 PATTY E. VONK, MADELINE J.L. RAVESLOOT, AND NICO DE VRIES FILIPPO MONTEVECCHI, GIOVANNI CAMMAROTO, AND RICCARDO GOBBI 16.1 INTRODUCTION . 66 16.3.1 DISE FINDINGS . 68 16.2 MATERIAL AND METHODS . 67 16.4 DISCUSSION . . 69 16.2.1 PATIENTS . 67 16.5 CONCLUSION . . 69 16.2.2 DEFINITIONS . 67 16.2.3 DISE PROCEDURE . 67 16.6 CLINICAL RELEVANCE . . 69 16.2.4 PATIENT POSITIONING . 68 16.3 RESULTS . 68 17 COMMON MISTAKES IN DISE . . 71 17.1 INTRODUCTION . 71 17.6TARGET EVENTS . . 72 17.2 SETTING AND PREOPERATIVE INVESTIGATIONS . 71 17.7 CLASSIFICATION SYSTEM . . 73 17.3 TECHNICAL EQUIPMENT . 71 17.8 COUNSELING AFTER DISE. . 73 17.4 PATIENT POSITIONING AND DIAGNOSTIC MANEUVERS . 72 17.9 CONCLUSION . . 73 17.5 OBSERVATION WINDOW . 72 18 DIAGNOSTIC AND THERAPEUTIC APPLICATIONS OR A GUIDE FOR CLINICAL PRACTICE 74 CLEMENS HEISER AND JOACHIM T. MAURER 18.1 HISTORY . 74 18.3.1 ANATOMICAL PATTERN AND LEVEL OF OBSTRUCTIONS IN THE PATHOPHYSIOLOGY 18.1.1 HISTORY ABOUT HYPOGLOSSAL NERVE STIMULATION . 74 OF OSA . 76 18.1.2 HISTORY ABOUT DISE IN SELECTIVE 18.4 DISE IN HNS AS A SCREENING TOOL * PROCEDURE HN STIMULATION * THE KEY FACTOR TO FOR BEST PRACTICE . 78 SUCCESS . 74 18.5 ANALYZING THE RESULTS OF DISE IN PATIENTS 18.2 HYPOGLOSSAL NERVE ANATOMY . 75 WITH BREATHING-SYNCHRONIZED HNS . 78 18.3 PATHOPHYSIOLOGY AND MECHANISMS OF STIMULATION . 76 18.6 USING DISE AS A TITRATION TOOL FOR HYPOGLOSSAL NERVE STIMULATION (HNS) . 79 VIII 19 DISE AND TREATMENT WITH MANDIBULAR ADVANCEMENT DEVICES IN OBSTRUCTIVE SLEEP APNEA PATIENTS . 82 PATTY E. VONK, MADELINE J.L. RAVESLOOT, OLIVIER M. VANDERVEKEN, ANNECLAIRE V.M.T VROEGOP, AND NICO DE VRIES 19.1 INTRODUCTION . 82 19.4 THERMOPLASTIC APPLIANCES . 84 19.2 MAD TREATMENT SUCCESS . 82 19.5 SIMULATION BITE AND A REMOTELY CONTROLLED MANDIBULAR POSITIONER . 84 19.3 DISE AS A SCREENING TOOL FOR MAD TREATMENT . 82 19.6 CONCLUSIONS . 85 20 THE USE OF DISE TO DETERMINE CANDIDATES FOR UPPER AIRWAY STIMULATION . 87 ADRIAN A. ONG AND M. BOYD GILLESPIE 20.1 INTRODUCTION . 87 20.2 UPPER AIRWAY STIMULATION (UAS) . 87 20.2.1 HISTORY OF UAS . 87 20.2.2 UAS COMPONENTS . 87 20.2.3 MECHANISM OF UAS . 88 20.2.4 SELECTION CRITERIA FOR UAS . 89 20.2.5 OUTCOMES OF UAS . 89 20.3 CLINICAL HISTORY AND DATA . 90 20.3.1 DISE FOR UAS CANDIDACY . 90 20.3.2 IMPROVING UAS EFFICACY USING DISE . 91 20.4 CONCLUSIONS . 92 21 PEDIATRIC SLEEP ENDOSCOPY . 93 AN BOUDEWYNS AND PALMA BENEDEK 21.1 INTRODUCTION . 93 21.2 SITES OF POTENTIAL UA OBSTRUCTION IN CHILDREN . 93 21.2.1 THE NOSE AND NASOPHARYNX . 93 21.2.2 OROPHARYNX: TONSILS AND LATERAL PHARYNGEAL WALL . 95 21.2.3 TONGUE BASE . 95 21.2.4 EPIGLOTTIS . 95 21.2.5 SUPRAGLOTTIS-SLEEP-DEPENDENT OR LATE ONSET LARYNGOMALACIA . 95 21.2.6 EVALUATION OF THE LOWER AIRWAYS . 95 21.3 DRUG USED FOR PEDIATRIC DISE . 95 21.4 INDICATIONS FOR DISE . 99 21.4.1 COMMONLY ACCEPTED INDICATIONS FOR DISE IN CHILDREN . 99 21.4.2 EXPANDING INDICATIONS FOR PEDIATRIC DISE . 100 21.5 DISE PROTOCOL . 101 21.6 DISE SCORING SYSTEMS . 101 21.7 OUTCOME OF DISE-DIRECTED SURGERY IN CHILDREN . 101 21.7.1 SURGICALLY NAIVE, HEALTHY PATIENTS WITH OSAS . 101 21.7.2 CHILDREN WITH PERSISTENT OSAS WITH/WITHOUT COMORBIDITY . 102 21.7.3 CHILDREN WITH HYPOTONIA . 103 21.7.4 CHILDREN WITH DOWN SYNDROME . 103 21.8 CLINICAL CASE SCENARIOS . 103 21.8.1 CASEL . 103 21.8.2 CASE 2 . 103 21.9 ROLE OF DISE IN THE MULTIDISCIPLINARY AND INTEGRATED APPROACH TO PEDIATRIC OSAS . 105 IX 22 22.1 22.1.1 22.1.2 22.1.3 22.1.4 23 23.1 23.2 23.2.1 23.2.2 24 24.1 24.1.1 24.1.2 24.1.3 24.1.4 24.1.5 24.1.6 DISE IN CHILDREN WITH CRANIOFACIAL ANOMALIES 109 POO/O G. MORSELLI, ROSSELLA SGARZANI, VALENTINA PINTO, ANDREA MARZETTI, FRANCESCO M. PASSALI, NADIA MANSOURI, P. VIJAYA KRISHNAN, VIKAS AGRAWAL, SRINIVAS KISHORE S, AND OTTAVIO PICCIN INTRODUCTION 109 22.2 TYPES OF CRANIOFACIAL DISEASES AND OSA . 109 CLEFT LIP AND/OR PALATE 110 SYNOSTOSES 110 HYPOPLASIA 110 22.3 RATIONALE FOR DISE IN CHILDREN WITH CRANIOFACIAL ANOMALIES CONCLUSIONS ILL 112 ADVANCED TECHNIQUE 114 GIOVANNI SORRENTI, GIUSEPPE CACCAMO, IRENE PELLIGRA, LUCA BURGIO, RICCARDO ALBERTINI, ELEONORA CIOCCOLONI, PAOLO COZZOLINO, AND OTTAVIO PICCIN INTRODUCTION INDICATIONS ASSESSMENT BEFORE A-DISE TITRATION APPROACH FOR ORAL DEVICE SIMULATOR 114 23.2.3 A-DISE PROTOCOL 115 23.3 POTENTIAL ADVANTAGES FROM CONVENTIONAL TECHNIQUE 117 114 114 FUTURE PERSPECTIVES 11 9 A. SIMON CARNEY, PETER CATCHESIDE, AND ALEX WALL PATIENT PHENOTYPING/ENDOTYPING 119 24.2 DEFICIENT UPPER AIRWAY ANATOMY 119 24,3 MUSCLE RESPONSIVENESS 120 24,4 LOOP GAIN . 120 RESPIRATORY AROUSAL THRESHOLD 121 24.5 PALM SCALE FOR PATIENT PHENOTYPING 121 PHENOTYPING/ENDOTYPING CONCLUSIONS 121 ANALYSIS OF AIRFLOW SHAPE 121 RADIOLOGICAL SLEEP ASSESSMENT 122 REAL-TIME SLEEP VIDEOMANOMETRY 123 CONCLUSIONS 126 INDEX 129 X
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spelling	Drug-induced sleep endoscopy diagnostic and therapeutic applications Nico de Vries, Ottavio Piccin, Olivier M. Vanderveken, Claudio Vicini [1. Auflage] Stuttgart Thieme [2021] © 2021 xv, 132 Seiten 81 Illustrationen, Diagramme 27 cm x 19.5 cm Enthält: 1 Online-Ressource txt rdacontent n rdamedia nc rdacarrier Sleep Apnea, Obstructive - therapy Endoscopy - methods Narkose (DE-588)4041231-3 gnd rswk-swf Endoskopie (DE-588)4014670-4 gnd rswk-swf drug-induced sleep endoscopy DISE obstructive sleep apnea syndrome snoring sleep disorrdered breathing OSAS upper airway obstruction positional therapy continuous positive airway pressure CPAP endoscopy otolaryngology Chirurgie Endoskopie (DE-588)4014670-4 s Narkose (DE-588)4041231-3 s DE-604 Vries, Nico de (DE-588)1190907666 edt Piccin, Ottavio edt Vanderveken, Olivier edt Vicini, Claudio edt Georg Thieme Verlag KG (DE-588)1064287301 pbl X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=62061502f3dc4e76a34e6906d3bf4f07&prov=M&dok_var=1&dok_ext=htm Inhaltstext DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=032442356&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Drug-induced sleep endoscopy diagnostic and therapeutic applications Sleep Apnea, Obstructive - therapy Endoscopy - methods Narkose (DE-588)4041231-3 gnd Endoskopie (DE-588)4014670-4 gnd
subject_GND	(DE-588)4041231-3 (DE-588)4014670-4
title	Drug-induced sleep endoscopy diagnostic and therapeutic applications
title_auth	Drug-induced sleep endoscopy diagnostic and therapeutic applications
title_exact_search	Drug-induced sleep endoscopy diagnostic and therapeutic applications
title_exact_search_txtP	Drug-induced sleep endoscopy diagnostic and therapeutic applications
title_full	Drug-induced sleep endoscopy diagnostic and therapeutic applications Nico de Vries, Ottavio Piccin, Olivier M. Vanderveken, Claudio Vicini
title_fullStr	Drug-induced sleep endoscopy diagnostic and therapeutic applications Nico de Vries, Ottavio Piccin, Olivier M. Vanderveken, Claudio Vicini
title_full_unstemmed	Drug-induced sleep endoscopy diagnostic and therapeutic applications Nico de Vries, Ottavio Piccin, Olivier M. Vanderveken, Claudio Vicini
title_short	Drug-induced sleep endoscopy
title_sort	drug induced sleep endoscopy diagnostic and therapeutic applications
title_sub	diagnostic and therapeutic applications
topic	Sleep Apnea, Obstructive - therapy Endoscopy - methods Narkose (DE-588)4041231-3 gnd Endoskopie (DE-588)4014670-4 gnd
topic_facet	Sleep Apnea, Obstructive - therapy Endoscopy - methods Narkose Endoskopie
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