A New Technological Advancement of the Drug-Induced Sleep Endoscopy (DISE) Procedure: The “All in One Glance” Strategy

Michele Arigliani, Domenico M. Toraldo, Filippo Montevecchi, Luana Conte, Lorenzo Galasso, Filippo De Rosa, Caterina Lattante, Enrico Ciavolino, Caterina Arigliani, Antonio Palumbo, Michele De Benedetto and Claudio Vicini
Additional contact information
Michele Arigliani: ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy
Domenico M. Toraldo: Department of Rehabilitation, Cardiorespiratory Rehabilitation Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy
Filippo Montevecchi: ENT & Oral Surgery Unit, Private Hospitals, 47121 Forli, Italy
Luana Conte: Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) at the “V Fazzi” Hospital, 73100 Lecce, Italy
Lorenzo Galasso: Independent Scholar, Pisanelli no 25, 73020 Castrì di Lecce (LE), Italy
Filippo De Rosa: “V.Fazzi” Hospital, Anesthesia and Intensive Care Department, 73100 ASL Lecce, Italy
Caterina Lattante: “V.Fazzi” Hospital, Anesthesia and Intensive Care Department, 73100 ASL Lecce, Italy
Enrico Ciavolino: Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy
Caterina Arigliani: General Medicine, Univerzita Pavla Jozefa Safarika, 04001 Kosiciach, Slovakia
Antonio Palumbo: ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy
Michele De Benedetto: ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy
Claudio Vicini: Otolaryngology Head and Neck Surgery, University Hospital of Ferrara, 44124 Cona FE, Italy

IJERPH, 2020, vol. 17, issue 12, 1-11

Abstract: To illustrate a new technological advance in the standard drug-induced sleep endoscopy (DISE) model, a new machine was used, the Experimental 5 Video Stream System (5VsEs), which is capable of simultaneously visualizing all the decisional parameters on a single monitor, and recording and storing them in a single uneditable video. The DISE procedure was performed on 48 obstructive sleep apnea (OSA) or snoring patients. The parameters simultaneously recorded on a single monitor are (1) the pharmacokinetics and pharmacodynamics of propofol (through the target controlled infusion (TCI) pump monitor), (2) the endoscopic upper airway view, (3) the polygraphic pattern, and (4) the level of sedation (through the bispectral index (BIS) value). In parallel to the BIS recording, the middle latency auditory evoked potential (MLAEP) was also recorded and provided. Recorded videos from the 5VsEs machine were re-evaluated six months later by the same clinician and a second clinician to evaluate the concordance of the therapeutic indications between the two. After the six-month period, the same operator confirmed all their clinical decisions for 45 out of 48 videos. Three videos were no longer evaluable for technical reasons, so were excluded from further analysis. The comparison between the two operators showed a complete adherence in 98% of cases. The 5VsEs machine provides a multiparametric evaluation setting, defined as an “all in one glance” strategy, which allows a faster and more effective interpretation of all the simultaneous parameters during the DISE procedure, improving the diagnostic accuracy, and providing a more accurate post-analysis, as well as legal and research advantages.

Keywords: obstructive sleep apnea (OSA); drug-induced sleep endoscopy (DISE); propofol; Experimental 5 Video Stream System (5VsEs); bispectral index (BIS) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/12/4261/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/12/4261/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:12:p:4261-:d:371803

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().