European position paper on drug‐induced sleep endoscopy: 2017 Update

Clinical Otolaryngology - Tập 43 Số 6 - Trang 1541-1552 - 2018
Andrea De Vito1,2, Marina Carrasco Llatas3, J. Ulrich Sommer4,5, Bhik Kotecha6, Paul Van de Heyning7,8,9, Evert Hamans10, Joachim T. Maurer11, Marcello Bosi12, M. Blumen13, Clemens Heiser14, Michael Herzog15, Filippo Montevecchi16, Ruggero M. Corso17, Alberto Braghiroli18, Riccardo Gobbi2, Anneclaire V. Vroegop19, Patty E. Vonk4, Winfried Hohenhorst20, Ottavio Piccin21, Giovanni Sorrenti21, Olivier M. Vanderveken22, Claudio Vicini23,24,25,26
1ENT Unit Santa Maria delle Croci Hospital Ravenna AUSL of Romagna Romagna Italy
2Head and Neck Department ENT & Oral Surgery Unit Morgagni‐Pierantoni Hospital Forlì Italy
3ENT Clinic Hospital Universitario Doctor Peset Valencia Spain
4Department of Otorhinolaryngology and Head and Neck Surgery, OLVG, Amsterdam, The Netherlands
5Medisch Centrum Jan Van Goyen, Amsterdam, The Netherlands
6Royal National Throat Nose & Ear Hospital UCLH London UK
7Department of Oral Kinesiology Academic Centre for Dentistry MOVE Inst. Amsterdam The Netherlands
8Department of Otolaryngology, OLVG Hospital and ACTA Amsterdam Netherlands
9Department of Otorhinolaryngology and Head and Neck Surgery Multidisciplinary Sleep Disorders Center University of Antwerp Antwerp Belgium
10Department of Otorhinolaryngology, Head and Neck Surgery Jan Palfijn Hospital Ziekenhuis Netwerk Antwerpen (ZNA) Antwerpen Belgium
11Sleep Disorders Centre Department of Otorhinolaryngology, Head and Neck Surgery University Medicine Mannheim Mannheim Germany
12Pulmonary Operative Unit Department of Thoracic Diseases Morgagni‐Pierantoni Hospital AUSL of Romagna Forlì Italy
13Service ORL Hopital Foch, Suresnes France and Centre Medical Veille Sommeil Paris France
14Department of Otorhinolaryngology, Head and Neck Surgery Technische Universitat Munchen Munich Germany
15Department of Otorhinolaryngology, Head and Neck Surgery Carl Thiem Klinikum Cottbus Germany
16Head and Neck Department ENT & Oral Surgery Unit Morgagni‐Pierantoni Hospital AUSL of Romagna Forlì Italy
17Intensive Care Unit Morgagni‐Pierantoni Hospital AUSL of Romagna Forlì Italy
18Sleep Lab. Pulmonary Rehabilitation Dept. Istituti Clinici Scientifici Maugeri SPA SB IRCCS Veruno Italy
19Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
20ENT, Head and Neck Surgery, Alfried Krupp Hospital, Essen, Germany
21Department of Otolaryngology, Head and Neck Surgery Sant'Orsola-Malpighi University Hospital Bologna Italy
22Faculty of Medicine and Health Sciences University of Antwerp- Department ENT, Head and Neck Surgery Antwerp University Hospital - Multidisciplinary Sleep Disorders Centre Antwerp University Hospital Antwerp Belgium
23AUSL of Romagna Romagna Italy
24ENT Clinic, University of Ferrara, Ferrara, Italy
25ENT Unit Santa Maria delle Croci Hospital Ravenna Italy
26Head and Neck Department AUSL of Romagna ENT & Oral Surgery Unit Morgagni‐Pierantoni Hospital Forlì Italy

Tóm tắt

BackgroundThe first edition of the European position paper (EPP) on drug‐induced sleep endoscopy (DISE) was published in 2014 with the aim to standardise the procedure, to provide an in‐depth insight into the main aspects of this technique and to have a basis for future research. Since 2014, new studies have been published concerning new sedative agents or new insights into the pattern/levels of the obstruction depending on the depth of sedation. Therefore, an enlarged group of European experts in the field of sleep breathing disorders (SBD), including the most of the first DISE EPP main authors, has decided to publish an update of the European position paper on DISE, in order to include new evidence and to find a common language useful for reporting the findings of this endoscopic evaluation in adult population affected by SBD.MethodsThe authors have evaluated all the available evidence reported in the literature and have compared experience among various departments in leading European centres in order to provide an update regarding the standardisation of the DISE procedure and an in‐depth insight into the main aspects of this technique.ResultsAfter the first European Position Consensus Meeting on DISE and its update, consensus was confirmed for indications, required preliminary examinations, where to perform DISE, technical equipment required, staffing, local anaesthesia, nasal decongestion, other medications, patient positioning, basics and special diagnostic manoeuvres, drugs and observation windows. So far, no consensus could be reached on a scoring and classification system. However, regarding this aim, the idea of an essential classification, such as VOTE with the possibility of its graded implementation of information and descriptions, seems to be the best way to reach a universal consensus on DISE classification at this stage. A common DISE language is mandatory, and attempts to come to a generally accepted system should be pursued.

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Tài liệu tham khảo

10.1007/s11325-014-0989-6

10.1111/j.1365-2273.1991.tb02103.x

10.1177/0194599812464865

10.1007/s00405-008-0637-5

10.1016/S0030-6665(02)00176-7

10.1016/j.otot.2006.10.005

10.1016/j.otot.2011.06.001

10.1016/j.ijporl.2013.02.002

10.1007/s11325-012-0671-9

10.1002/lary.25722

10.1002/lary.22474

10.5664/jcsm.2658

10.1002/lary.23462

10.5664/jcsm.6756

10.1177/0194599815586978

10.1002/lary.22494

10.1378/chest.113.4.992

10.1002/lary.21749

10.1093/sleep/26.7.907

10.5664/jcsm.2172

10.1002/lary.22369

10.1093/bja/aep138

10.1213/01.ane.0000255152.96354.17

Pilge S, 2012, Monitors of the hypnotic component of anesthesia ‐ correlation between bispectral index and cerebral state index, Minerva Anestesiol, 78, 636

10.1017/S0265021505002206

10.1093/bja/aei253

10.1007/s11325-016-1348-6

10.1016/j.otc.2016.06.002

10.1007/s10877-015-9805-5

10.1001/jamaoto.2016.3964

Adult Sedation Guidelines NHS 2010. In:http://www.ruh.nhs.uk/about/policies/documents/clinical_policies/blue_clinical/Blue_7005.pdf.

10.1007/s00405-008-0831-5

10.1111/j.1749-4486.2006.01136.x

10.1016/j.otohns.2009.01.012

10.1111/j.1365-2273.1996.tb01095.x

10.1152/japplphysiol.01221.2004

10.5665/sleep.3840

10.1007/s11325-014-1068-8

10.1007/s11325-016-1397-x

10.1002/lary.24825

10.1002/lary.24598

10.1007/s00405-014-3215-z

10.1016/j.otot.2011.05.001

10.1111/jsr.12008

10.1016/j.sleep.2011.08.005

10.1002/lary.26132

10.1002/lary.25399

10.1002/lary.23664

10.1007/s11325-015-1127-9

10.1007/s00405-010-1376-y

10.1007/s00405-016-4447-x

10.1007/s11325-014-1007-8

10.1007/s11325-017-1491-8

10.1097/00000539-200201000-00024

10.1007/s11325-017-1518-1

10.1002/lary.24045

Lo YL, 2015, Bispectral index in evaluating effects of sedation depth on drug‐induced sleep endoscopy, J Clin Sleep Med, 11, 965, 10.5664/jcsm.5002

10.1007/s00405-011-1798-1

10.1002/lary.23506

10.1111/j.1365-2273.1993.tb00618.x

10.1017/S0022215100132335

10.1111/j.1365-2273.1995.tb00061.x

10.1046/j.1440-1819.2002.00960.x

10.1080/0365523031000055

10.1007/s00405-011-1633-8

10.1007/s00405-012-1965-z

10.1007/s00408-011-9367-3

10.1002/lary.23584

10.1016/j.amjoto.2013.07.013

10.1007/s00405-015-3559-z

10.1007/s11325-016-1426-9

10.1002/lary.24479

10.1002/lary.24972

10.1007/s11325-017-1521-6

DeschlerDG MooreMG&SmithRV.Quick Reference Guide to TNM Staging of Head and Neck Cancer and Neck Dissection Classification.

10.4238/2014.June.17.7

10.1017/S002221510999079X

10.1016/j.smrv.2007.08.009

10.5665/sleep.2732

Spinowitz S, 2017, Patterns of Upper Airway Obstruction on Drug‐Induced Sleep Endoscopy in Patients with Sleep‐Disordered Breathing with AHI\5, OTO Open, 1

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Clinical Otolaryngology

Tập 43 Số 6

1541-1552

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