Ideal Drug for Frug Induced Sleep Endoscopy, Protocol Vs Dexmedetomidine- Systematic Review
نویسنده
چکیده
Drug induced sleep endoscopy is the most important investigation before surgical planning of obstructive sleep apnea patient. It is performed by artificially inducing sleep in a patient and performing nasal endoscopy in order to identify the site of upper airway obstruction. The most appropriate anesthetic agent would be that which induces sleep without any respiratory inhibition. Propofol has been widely used to perform drug induced sleep endoscopy. However, Dexmedetomidine is a newer drug which has shown to have many advantages making it suitable to drug induced nasal endoscopy. The present study is a systematic review of English literature which compares the utility of Propofol and dexmedetomidine in drug induced sleep endoscopy.
منابع مشابه
The effects of anesthesia and opioids on the upper airway: A systematic review.
OBJECTIVES/HYPOTHESIS Drug-induced sleep endoscopy (DISE) is used to determine surgical therapy for obstructive sleep apnea (OSA); however, the effects of anesthesia on the upper airway are poorly understood. Our aim was to systematically review existing literature on the effects of anesthetic agents on the upper airway. DATA SOURCES PubMed, CINAHL, EBM reviews and Scopus (all indexed years)....
متن کاملSedative choice in drug-induced sleep endoscopy: A neuropharmacology-based review.
OBJECTIVE To examine the suitability of commonly used agents for drug-induced sleep endoscopy (DISE) based on agent-specific neuropharmacology. DATA SOURCES PubMed. REVIEW METHODS A literature search of the PubMed database was performed on January 1, 2016. A two-layered search strategy was performed to identify relevant pharmacologic agents and articles related to neuropharmacology for thes...
متن کاملComparison of dexmedetomidine and propofol used for drug-induced sleep endoscopy in patients with obstructive sleep apnea syndrome.
UNLABELLED Backround: Surgical operations are alternative treatments in persons with Obstructive Sleep Apnea Syndrome who cannot tolerate continuous positive airway pressure therapy. Drug-Induced Sleep Endoscopy is a method with which somnolence is pharmacologically induced and collapse is evaluated through nasal endoscopy in patients with Obstructive Sleep Apnea Syndrome. AIMS We aimed to ev...
متن کاملA comparison of dexmedetomidine versus propofol during drug-induced sleep endoscopy in sleep apnea patients.
OBJECTIVES/HYPOTHESIS In this study, we compared the effects of propofol and dexmedetomidine on the upper airway collapse pattern and cardiopulmonary parameters of patients with obstructive sleep apnea (OSA) undergoing drug-induced sleep endoscopy (DISE). STUDY DESIGN Prospective, single center, observational study MATERIALS AND METHODS The 50 patients with OSA underwent 30 minutes of DISE ...
متن کاملDrug-induced sleep endoscopy in the identification of obstruction sites in patients with obstructive sleep apnea: a systematic review.
INTRODUCTION Obstructive sleep apnea syndrome has multifactorial causes. Although indications for surgery are evaluated by well-known diagnostic tests in the awake state, these do not always correlate with satisfactory surgical results. OBJECTIVE To undertake a systematic review on endoscopy during sleep, as one element of the diagnosis routine, aiming to identify upper airway obstruction sit...
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