Sleep endoscopy – a new challenge for the anaesthetist in the diagnostics and treatment of the obstructive sleep apnea syndrome


Authors: O. Jor 1,2;  J. Kubíčková 3,4;  J. Máca 1,2;  V. Šeděnková 1,2;  M. Frelich 1,2;  P. Ševčík 1,2;  P. Komínek 3,4
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava 1;  Katedra intenzivní medicíny a forenzních oborů, Lékařská fakulta, Ostravská univerzita 2;  Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Ostrava 3;  Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita 4
Published in: Anest. intenziv. Med., 29, 2018, č. 2, s. 72-76
Category:

Overview

The obstructive sleep apnoea syndrome (OSA) is characterized by repeated episodes of partial or complete occlusion of the upper airways during sleep. Patients with OSA have an increased risk of hypertension, congestive heart failure, pulmonary hypertension, diabetes and stroke. OSA presents a significant risk for the general anaesthesia induction as well as the entire perioperative period. OSA is an independent risk factor for difficult bag ventilation and difficult intubation. The diagnostic problem for OSA patients is to determine the site of their airway obstruction. Local findings differ significantly in consciousness and sleep. The aim of this review article is to discuss the safest way of sedation, which at the same time imitates the natural sleep pattern and ensures maximum validity of drug-induced sleep endoscopy (DISE).

Keywords:
DISE – OSA – drug-induced sleep endoscopy


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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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