TY - JOUR
T1 - European position paper on drug-induced sedation endoscopy (DISE)
AU - De Vito, Andrea
AU - Carrasco Llatas, Marina
AU - Vanni, Agnoletti
AU - Bosi, Marcello
AU - Braghiroli, Alberto
AU - Campanini, Aldo
AU - de Vries, Nico
AU - Hamans, Evert
AU - Hohenhorst, Winfried
AU - Kotecha, Bhik T.
AU - Maurer, Joachim
AU - Montevecchi, Filippo
AU - Piccin, Ottavio
AU - Sorrenti, Giovanni
AU - Vanderveken, Olivier M.
AU - Vicini, Claudio
PY - 2014
Y1 - 2014
N2 - Methods: The authors have evaluated all the available evidence reported in the literature and have compared experience among various departments in leading European centers in order to provide a standardization of the DISE procedure and an in-depth insight in the main aspects of this technique.Background: Although drug-induced sedation endoscopy (DISE) represents the most widespread diagnostic tool for upper airway endoscopic evaluation of snoring and obstructive sleep apnea hypopnea syndrome (OSAHS), many controversies exist about how to perform the sedation, the indications for DISE, and how to report DISE findings. The present position paper reports on a consensus as proposed by a group of European experts in the field of DISE after discussion during a recent dedicated meeting.Results: A proposal of the DISE procedure standardization has been achieved with a general agreement concerning the terminology, indications, contraindications, required preliminary examinations, setting, technical equipment required, staffing, local anesthesia and nasal decongestion, patient positioning, basis and special diagnostic maneuvers, and the applied sedation drugs and observation windows. Otherwise, no consensus has been reached on a scoring and classification system.Conclusions: Although consensus has been reached on several aspects of the DISE procedure, some topics remain open to future research, such as a better analysis of the importance of positional aspects during DISE and a further comparison of the differences in degree, level and pattern of upper airway collapse observed during DISE versus during natural sleep and awake endoscopy. Finally, a universally accepted scoring and classification system is lacking.
AB - Methods: The authors have evaluated all the available evidence reported in the literature and have compared experience among various departments in leading European centers in order to provide a standardization of the DISE procedure and an in-depth insight in the main aspects of this technique.Background: Although drug-induced sedation endoscopy (DISE) represents the most widespread diagnostic tool for upper airway endoscopic evaluation of snoring and obstructive sleep apnea hypopnea syndrome (OSAHS), many controversies exist about how to perform the sedation, the indications for DISE, and how to report DISE findings. The present position paper reports on a consensus as proposed by a group of European experts in the field of DISE after discussion during a recent dedicated meeting.Results: A proposal of the DISE procedure standardization has been achieved with a general agreement concerning the terminology, indications, contraindications, required preliminary examinations, setting, technical equipment required, staffing, local anesthesia and nasal decongestion, patient positioning, basis and special diagnostic maneuvers, and the applied sedation drugs and observation windows. Otherwise, no consensus has been reached on a scoring and classification system.Conclusions: Although consensus has been reached on several aspects of the DISE procedure, some topics remain open to future research, such as a better analysis of the importance of positional aspects during DISE and a further comparison of the differences in degree, level and pattern of upper airway collapse observed during DISE versus during natural sleep and awake endoscopy. Finally, a universally accepted scoring and classification system is lacking.
KW - Obstructive sleep apnea hypopnea syndrome
KW - Prediction
KW - Sleep endoscopy
KW - Sleep-disordered breathing
KW - Therapy
KW - Upper airway collapse
UR - http://www.scopus.com/inward/record.url?scp=84930320540&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930320540&partnerID=8YFLogxK
U2 - 10.1007/s11325-014-0989-6
DO - 10.1007/s11325-014-0989-6
M3 - Article
C2 - 24859484
AN - SCOPUS:84930320540
VL - 18
SP - 453
EP - 465
JO - Sleep and Breathing
JF - Sleep and Breathing
SN - 1520-9512
IS - 3
ER -