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El. knyga: Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications

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  • Formatas: 148 pages
  • Išleidimo metai: 11-Nov-2020
  • Leidėjas: Thieme Publishing Group
  • Kalba: eng
  • ISBN-13: 9783132582156
Kitos knygos pagal šią temą:
Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic ApplicationsDidesnis paveikslėlis
  • Formatas: 148 pages
  • Išleidimo metai: 11-Nov-2020
  • Leidėjas: Thieme Publishing Group
  • Kalba: eng
  • ISBN-13: 9783132582156
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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 Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers.

Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more.

Key Highlights

  • Comprehensive video library highlights common and rare DISE findings
  • A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives
  • Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse
  • Discussion of controversial DISE applications including oral appliances and positional and combination therapies

This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Videos xi
Preface xii
Contributors xiii
1 Introduction
1(2)
Ottavio Piccin
Claudio Vicini
Nico de Vries
Olivier M. Vanderveken
1.1 Obstructive Sleep Apnea
1(2)
2 Historical Perspective
3(5)
Bhik Kotecha
Ivor Kwame
2.1 Introduction
3(1)
2.2 The Original Concept
3(2)
2.2.1 Early Work
3(1)
2.2.2 The Origins of DISE
3(1)
2.2.3 History of DISE-Controversies
3(2)
2.3 Interpretation-Grading
5(1)
2.4 Evolving Technology
6(2)
3 Applicability
8(4)
Marina Carrasco Liatas
3.1 Introduction
8(1)
3.2 Comparisons of Natural Sleep and Sedation
8(2)
3.2.1 Respiratory Parameters
8(1)
3.2.2 Critical Closing Pressure
9(1)
3.2.3 Other Variables
10(1)
3.3 DISE Validity and Sedation Method
10(2)
4 Classifications Systems
12(8)
Marina Carrasco Liatas
4.1 Introduction
12(1)
4.2 Anatomy
12(1)
4.3 Main Elements that a DISE Scoring System Should Have
13(1)
4.4 Common Classification Systems
14(3)
4.4.1 Pringle and Croft
14(1)
4.4.2 The VOTE Classification
14(1)
4.4.3 The NOHL Classification
14(1)
4.4.4 Bachar's Classification
15(1)
4.4.5 Woodson's Classification
15(1)
4.4.6 Other Mixed Classifications
16(1)
4.4.7 Pediatric Classifications
16(1)
4.5 Localization of the Tip of the Endoscope
17(1)
4.6 Images of Collapses
17(1)
4.7 Conclusions
18(2)
5 Indications and Contraindications
20(3)
Nico de Vries
Olivier M. Vanderveken
5.1 Introduction and Definitions
20(1)
5.2 Geographical Differences
20(1)
5.3 DISE In Naive OSA Patients
21(1)
5.4 DISE in Positional OSA
21(1)
5.5 DISE and UA Surgery
21(1)
5.6 DISE in Simple Snorers
21(1)
5.7 DISE after UA Surgery, MAD. and UA Stimulation Treatment Failure
21(1)
5.8 DISE after Weight Loss
22(1)
5.9 DISE and CPAP Failure
22(1)
6 Preparation for DISE: Informed Consent
23(1)
Marc Blumen
6.1 Introduction
23(1)
7 Organization and Logistics
24(3)
Linda Benoist
Nico de Vries
7.1 Introduction
24(1)
7.2 Materials and Methods
24(1)
7.2.1 History of DISE in Our Hospital
24(1)
7.2.2 Patient Indication for DISE
24(1)
7.2.3 Staff
24(1)
7.2.4 Sedation Protocol
25(1)
7.2.5 Logistics
25(1)
7.2.6 DISE Report
25(1)
7.3 Results
25(1)
7.4 Discussion
25(1)
7.5 Conclusion
26(1)
8 Patient Preparation and Positioning
27(3)
S. Srinivas Kishore
8.1 Introduction
27(1)
8.2 Preoperative Preparation
27(1)
8.3 Operation Theatre Preparation
27(1)
8.4 Patient Preparation
28(1)
8.5 Patient Positioning
28(1)
8.6 Positioning of the Endoscopist in Performing DISE
28(1)
8.7 Interventional DISE
28(1)
8.8 Conclusion
29(1)
9 Drugs for DISE
30(3)
Evert Hamans
Marina Carrasco Liatas
9.1 Introduction
30(1)
9.2 Effects of Local Anesthesia and Nasal Decongestion
30(1)
9.3 Drugs Used for DISE
30(1)
9.3.1 Propofol
31(1)
9.3.2 Midazolam
31(1)
9.3.3 Dexmedetomidine
31(1)
9.4 Dosage of Drugs
31(2)
9.4.1 Dosage of Propofol
31(1)
9.4.2 Dosage of Midazolam
32(1)
9.4.3 Dosage of Dexmedetomidine
32(1)
10 An Anesthesiological Point of View
33(8)
R.M. Corso
Massimiliano Sorbello
Ida Di Ciacinto
10.1 Introduction
33(1)
10.2 General Anesthesia, Sedation and Sleep: Similarities and Differences
33(1)
10.3 Anesthetics and Upper Airway
34(1)
10.4 How to Monitor Sedation
35(1)
10.5 Propofol and TCI Technology
36(1)
10.6 Difficult Airway in OSA: Prediction and Management Strategy
36(1)
10.6.1 Face Mask Ventilation and SADs
36(1)
10.6.2 Direct Laryngoscopy versus Videolaryngoscopy
36(1)
10.7 Perioperative Care
37(1)
10.8 Special Considerations in Pediatric Population
38(1)
10.9 Conclusion
38(3)
11 Work In Progress: A Prediction Model for DISE as Selection Tool for MAD and Positional Therapy
41(7)
Patty E. Vonk
Annemieke M.E.H. Beelen
Nico de Vries
11.1 Introduction
41(1)
11.2 Methods
42(1)
11.2.1 Patients
42(1)
11.2.2 DISE Procedure
42(1)
11.2.3 Classification System
42(1)
11.2.4 Statistical Analysis
43(1)
11.3 Results
43(1)
11.4 Discussion
43(3)
11.5 Conclusion and Future Perspectives
46(2)
12 Complications of DISE
48(4)
Ivor Kwame
Bhik Kotecha
12.1 Introduction
48(1)
12.2 Background
48(1)
12.3 Complications
48(2)
12.3.1 Equipment Factors
48(1)
12.3.2 Anesthetic Factors
49(1)
12.3.3 Patient Factors
49(1)
12.3.4 Recommendations
49(1)
12.4 Discussion
50(2)
13 DISE and Treatment Outcome
52(3)
Anneclaire V.M.T. Vroegop
Olivier M. Vanderveken
Ioannis Koutsourelakis
Madeline J.L. Ravesloot
Nico de Vries
13.1 Introduction
52(1)
13.2 Predictive Value
52(1)
13.3 Treatment Outcome Per Modality
52(1)
13.3.1 Pharyngeal Surgery
52(1)
13.3.2 Hypoglossal Nerve Therapy
53(1)
13.3.3 Transoral Robotic Surgery
53(1)
13.3.4 Maxillomandibular Advancement (MMA)
53(1)
13.3.5 Positional Therapy
53(1)
13.4 DISE in Surgical Failures
53(2)
14 DISE and Position-Dependent OSA
55(7)
Madeline J.L. Ravesloot
Patty E. Vonk
Nico de Vries
14.1 Positional Sleep Apnea
55(2)
14.2 Management of POSA
57(1)
14.3 Characteristics of Patients with POSA
58(1)
14.4 DISE and POSA
58(1)
14.5 Surgery and POSA
59(3)
15 Significance of Complete Concentric Collapse of the Palate
62(4)
Eli Van de Perck
Olivier M. Vanderveken
15.1 Introduction
62(1)
15.2 Pathophysiology: Upper Airway Shape and Collapsibility
62(1)
15.3 Predictive Value on Treatment Outcome
63(1)
15.3.1 Pharyngeal Surgery
63(1)
15.3.2 Upper Airway Stimulation (UAS)
63(1)
15.3.3 Mandibular Advancement Device Treatment
64(1)
15.3.4 Maxillomandibular Advancement Surgery
64(1)
15.4 Summary
64(2)
16 Epiglottic Collapse
66(5)
Patty E. Vonk
Madeline J.L. Ravesloot
Nico de Vries
16.1 Introduction
66(1)
16.2 Material and Methods
67(1)
16.2.1 Patients
67(1)
16.2.2 Definitions
67(1)
16.2.3 DISE Procedure
67(1)
16.2.4 Patient Positioning
68(1)
16.3 Results
68(1)
16.3.1 DISE Findings
68(1)
16.4 Discussion
69(1)
16.5 Conclusion
69(1)
16.6 Clinical Relevance
69(2)
17 Common Mistakes in DISE
71(3)
Filippo Montevecchi
Giovanni Cammaroto
Riccardo Cobbi
17.1 Introduction
71(1)
17.2 Setting and Preoperative Investigations
71(1)
17.3 Technical Equipment
71(1)
17.4 Patient Positioning and Diagnostic Maneuvers
72(1)
17.5 Observation Window
72(1)
17.6 Target Events
72(1)
17.7 Classification System
73(1)
17.8 Counseling after DISE
73(1)
17.9 Conclusion
73(1)
18 Diagnostic and Therapeutic Applications or a Guide for Clinical Practice
74(8)
Clemens Heiser
Joachim T. Maurer
18.1 History
74(1)
18.1.1 History about Hypoglossal Nerve Stimulation
74(1)
18.1.2 History about DISE in Selective HN Stimulation-The Key Factor to Success
74(1)
18.2 Hypoglossal Nerve Anatomy
75(1)
18.3 Pathophysiology and Mechanisms of Stimulation
76(2)
18.3.1 Anatomical Pattern and Level of Obstructions in the Pathophysiology of OSA
76(2)
18.4 DISE in HNS as a Screening Tool--Procedure for Best Practice
78(1)
18.5 Analyzing the Results of DISE in Patients with Breathing-Synchronized HNS
78(1)
18.6 Using DISE as a Titration Tool for Hypoglossal Nerve Stimulation (HNS)
79(3)
19 DISE and Treatment with Mandibular Advancement Devices in Obstructive Sleep Apnea Patients
82(5)
Patty E. Vonk
Madeline J.L. Ravesloot
Olivier M. Vanderveken
Anneclaire V.M.T. Vroegop
Nico de Vries
19.1 Introduction
82(1)
19.2 MAD Treatment Success
82(1)
19.3 DISE as a Screening Tool for MAD Treatment
82(2)
19.4 Thermoplastic Appliances
84(1)
19.5 Simulation Bite and a Remotely Controlled Mandibular Positioner
84(1)
19.6 Conclusions
85(2)
20 The Use of DISE to Determine Candidates for Upper Airway Stimulation
87(6)
Adrian A. Ong
M. Boyd Gillespie
20.1 Introduction
87(1)
20.2 Upper Airway Stimulation (UAS)
87(3)
20.2.1 History of UAS
87(1)
20.2.2 UAS Components
87(1)
20.2.3 Mechanism of UAS
88(1)
20.2.4 Selection Criteria for UAS
89(1)
20.2.5 Outcomes of UAS
89(1)
20.3 Clinical History and Data
90(2)
20.3.1 DISE for UAS Candidacy
90(1)
20.3.2 Improving UAS Efficacy Using DISE
91(1)
20.4 Conclusions
92(1)
21 Pediatric Sleep Endoscopy
93(16)
An Boudewyns
Palma Benedek
21.1 Introduction
93(1)
21.2 Sites of Potential UA Obstruction in Children
93(2)
21.2.1 The Nose and Nasopharynx
93(2)
21.2.2 Oropharynx: Tonsils and Lateral Pharyngeal Wall
95(1)
21.2.3 Tongue Base
95(1)
21.2.4 Epiglottis
95(1)
21.2.5 Supraglottis-Sleep-Dependent or Late Onset Laryngomalacia
95(1)
21.2.6 Evaluation of the Lower Airways
95(1)
21.3 Drug Used for Pediatric DISE
95(4)
21.4 Indications for DISE
99(2)
21.4.1 Commonly Accepted Indications for DISE in Children
99(1)
21.4.2 Expanding Indications for Pediatric DISE
100(1)
21.5 DISE Protocol
101(1)
21.6 DISE Scoring Systems
101(1)
21.7 Outcome of DISE-Directed Surgery in Children
101(2)
21.7.1 Surgically Naive, Healthy Patients with OSAS
101(1)
21.7.2 Children with Persistent OSAS with/without Comorbidity
102(1)
21.7.3 Children with Hypotonia
103(1)
21.7.4 Children with Down Syndrome
103(1)
21.8 Clinical Case Scenarios
103(2)
21.8.1 Casel
103(1)
21.8.2 Case 2
103(2)
21.9 Role of DISE in the Multidisciplinary and Integrated Approach to Pediatric OSAS
105(4)
22 DISE in Children with Craniofacial Anomalies
109(5)
Paolo C. Morselli
Rossella Sgarzani
Valentino Pinto
Andrea Marzetti
Francesco M. Passali
Nadia Mansouri
P. Vijaya Krishnan
Vikas Agrawal
Srinivas Kishores
Ottavio Piccin
22.1 Introduction
109(2)
22.1.1 Types of Craniofacial Diseases and OSA
109(1)
22.1.2 Cleft Up and/or Palate
110(1)
22.1.3 Synostoses
110(1)
22.1.4 Hypoplasia
110(1)
22.2 Rationale for DISE in Children with Craniofacial Anomalies
111(1)
22.3 Conclusions
112(2)
23 Advanced Technique
114(5)
Ciovanni Sorrenti
Giuseppe Caccamo
Irene Pelligra
Luca Burgio
Riccardo Albertini
Eleonora Cioccoloni
Paolo Cozzolino
Ottavio Piccin
23.1 Introduction
114(1)
23.2 Indications
114(3)
23.2.1 Assessment before A-DISE
114(1)
23.2.2 Titration Approach for Oral Device Simulator
114(1)
23.2.3 A-DISE Protocol
115(2)
23.3 Potential Advantages from Conventional Technique
117(2)
24 Future Perspectives
119(10)
A. Simon Carney
Peter Catcheside
Alex Wall
24.1 Patient Phenotyping/Endotyping
119(2)
24.1.1 Deficient Upper Airway Anatomy
119(1)
24.1.2 Muscle Responsiveness
120(1)
24.1.3 Loop Gain
120(1)
24.1.4 Respiratory Arousal Threshold
121(1)
24.1.5 PALM Scale for Patient Phenotyping
121(1)
24.1.6 Phenotyping/Endotyping Conclusions
121(1)
24.2 Analysis of Airflow Shape
121(1)
24.3 Radiological Sleep Assessment
122(1)
24.4 Real-Time Sleep Videomanometry
123(3)
24.5 Conclusions
126(3)
Index 129
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