Reliability of drug-induced sedation endoscopy: interobserver agreement

Carrasco-Llatas, Marina; Zerpa-Zerpa, Vanessa; Dalmau-Galofre, José

doi:10.1007/s11325-016-1426-9

Cited by 53 publications

(45 citation statements)

References 34 publications

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“…In this report the VOTE classification correlated with OSA severity and identified a number of affected sites; this study anesthetic level was described with bispectral assessments (BIS) 39 . In the use of VOTE in a DISE setting, the interobserver agreement between an experienced observer and a learner does have a learning curve, but the problem area is more often at the tongue base, rather than the velopharynx or the epiglottis 40 . The DISE can be used for planning other treatments that might be offered to CPAP-intolerant patients 41 .…”

Section: The Vote Classificationmentioning

confidence: 99%

Insights since FDA Approval of Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Strohl

Yamauchi

Peng

2017

Curr Sleep Medicine Rep

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Purpose The literature on hypoglossal nerve stimulation (HNS) for the treatment of moderate-to-severe obstructive sleep apnea (OSA) was reviewed from 2014, the time of FDA approval for the Inspire Systems device, to 2017 for themes that might be useful conceptually and practically in the consideration of this new non-anatomic surgical therapy. Recent Findings there are now further follow-up articles since the 12-month results for Apnea Reduction (STAR) trial of the Inspire device, and post-approval publications which report similar and/0r improved AHI outcomes. Other emerging themes include drug-induced sedation endoscopy (DISE) as a tool in assessment of eligibility and a more detailed understanding of mechanisms for an HNS effects. Summary The post-STAR literature provides guidelines for an integrated coordination of medicine and surgery to appropriately screen and manage patients.

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Section: The Vote Classificationmentioning

confidence: 99%

Insights since FDA Approval of Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Strohl

Yamauchi

Peng

2017

Curr Sleep Medicine Rep

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“…) showed that the rate of a closure of 75% or more at the level of the soft palate was 69.3% (95% CI: 48.3%–79.6%). A total of 210 patients from five studies were included in the meta‐analysis of the degree of closure at the level of the hypopharynx . Because heterogeneity was not present among the studies, a fixed‐effects model was used.…”

Section: Resultsmentioning

confidence: 99%

“…In the electronic databases, we entered keywords in the following combination: "obstructive sleep apnea," "sleep apnea," or "OSA"; and "sleep endoscopy," "drug induced sleep endoscopy," or "DISE." [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] In addition, we examined the references of three review articles related to DISE. 31,32 The search was performed on November 13, 2017.…”

Section: Literature Sources and Study Identificationmentioning

confidence: 99%

“…A total of 1,820 patients from 11 studies were included in the meta-analysis of the obstruction site based on the four-level system (soft palate, tonsil, tongue base, and epiglottis). [16][17][18][19][20][21][22][23][24][25][26] Because heterogeneity was present among studies for all four levels, a random-effects model was used. A forest plot ( Fig.…”

Section: Obstruction Sitementioning

confidence: 99%

“…A total of 297 patients from six studies were included in the meta-analysis of the degree of closure at the level of the soft palate. 16,[18][19][20]24,25 Because heterogeneity was present among the studies, a random-effects model was used. A forest plot ( Fig.…”

Section: Degree Of Closurementioning

confidence: 99%

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Meta‐Analysis of Obstruction Site Observed With Drug‐Induced Sleep Endoscopy in Patients With Obstructive Sleep Apnea

Lee

Cho

2018

The Laryngoscope

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Objective To perform a meta‐analysis on the distribution and characteristics of the obstructive site in patients with obstructive sleep apnea (OSA) using data from a variety of published studies that evaluated the obstruction with drug‐induced sleep endoscopy (DISE). Methods A literature search was performed to identify studies in which DISE was used to identify the obstruction site in adult patients with OSA, and the obstruction site was described in sufficient detail. Four items were evaluated in the meta‐analysis: the obstruction site, closing direction of the soft palate, degree of closure, and percentage of single‐level obstructions. Results A total of 2,950 patients from 19 studies were included. In the two‐level classification system, the rate of obstruction was 91.6% for the soft palate and 58.0% for the tongue base. In the four‐level classification system, the rate of obstruction was 84.1% for soft palate, 32.8% for the tonsil, 51.6% for the tongue base, and 34.3% for the epiglottis. The soft palate closed in the anteroposterior direction at a rate of 44.4% and in the concentric direction at a rate of 46.5%. The rate of a closure of 75% or more was 69.3% for the soft palate and 56.8% for the hypopharynx. The percentage of single‐level obstructions was 42.5%. Conclusion The soft palate is obstructed in most patients with OSA, and the tongue base is obstructed in half of the patients. In addition, multilevel obstructions including the tonsil, lateral pharyngeal wall, or epiglottis are common; thus, these areas must be checked carefully. Level of Evidence NA Laryngoscope, 129:1235–1243, 2019

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Obstruction Patterns During Drug-Induced Sleep Endoscopy vs Natural Sleep Endoscopy in Patients With Obstructive Sleep Apnea

Park

Kim

Heo

2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Drug-induced sleep endoscopy (DISE) has been suggested to be a valuable technique for identifying the obstruction site associated with sleep-disordered breathing. However, the reliability of DISE findings is controversial because the procedure uses sedative drugs, which may have implications for the obstruction patterns observed on DISE. OBJECTIVE To compare the obstruction patterns during DISE with the obstruction patterns during natural sleep endoscopy (NSE).

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Reliability of drug-induced sedation endoscopy: interobserver agreement

Cited by 53 publications

References 34 publications

Insights since FDA Approval of Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Insights since FDA Approval of Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Meta‐Analysis of Obstruction Site Observed With Drug‐Induced Sleep Endoscopy in Patients With Obstructive Sleep Apnea

Obstruction Patterns During Drug-Induced Sleep Endoscopy vs Natural Sleep Endoscopy in Patients With Obstructive Sleep Apnea

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