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PLACE OF ANESTHESIA SUPPORT IN THE DIAGNOSTIC PROCEDURE OF OBSTRUCTIVE SLEEP APNEA – SLEEP HYPOPNEA

https://doi.org/10.21292/2078-5658-2016-13-3-44-50

Abstract

Drug-induced sleep endoscopy occupies the important place in the diagnostic procedure of obstructive sleep apnea – sleep hypopnea and often defines the further treatment tactics. The review presents the main aspects of this manipulation and its anesthetic provision. Despite the long term experience of using drug-induced sleep endoscopy, the phenomenon of the increased and individual sensitivity of the inspiratory center to the hypnotic agent in those suffering from obstructive sleep apnea – sleep hypopnea has not been interpreted yet from research point of view. The issue of defining individual pharmacological threshold for induced apnea and personal level of sedation depth still remains important.

 

About the Authors

N. L. Zaykina
National Centre of Otorhinolaryngology, Minsk
Belarus
Doctor of Anesthesiology and Intensive Care Department


A. M. Dzyadzko
Republican Scientific and Practical Center of Organ and Tissue Transplantation, Minsk
Belarus
Candidate of Medical Sciences, Chief External Anesthesiologist and Intensive Care Physician, Head of Anesthesiology and Intensive Care Department


References

1. Clinical protocol for anesthetic provision. Approved by Edict no. 615 as of 08.06.2011 by Belarus Ministry of Health. Minsk, Ministry of Health of Belarus Republic, 2011, pp. 29. (In Russ.)

2. Kolyadich Zh.V., Tishkevich E.S., Frolov Yu.Yu. Endoscopic examination of the upper respiratory tract in those suffering from obstructive sleep apnea (our own experience). Vostochnaya Evropa, 2012, no. 4, pp. 29-37. (In Russ.)

3. Kochetkov P.А., Lopatin А.S., Fishkin D.V. Drug-induced sleep videoendos-copy – diagnostic tool of the upper respiratory tract disorders with concurrent obstructive sleep apnea. Ros. Rinologiya, 2009, no. 2, pp. 71-72. (In Russ.)

4. Melnik S.I. Syndrome of obstructive sleep apnea and pharyngeal reflux disease: diagnostics and treatment of concurrent conditions. Ros. Rinologiya, 2012, no. 2, pp. 39-40. (In Russ.)

5. Abdullah H.R., Chung F. Postoperative issues: discharge criteria. Anesthesiol. Clin., 2014, vol. 32, no. 2, pp. 487-493.

6. Agnoletti V., Berrettini S., de Vito A. et al. Drug-induced sleep endoscopy: conventional versus target controlled infusion techniques – a randomized controlled study. Eur. Arch. Otorhinolaryngol., 2011, vol. 268, no. 3, pp. 457-462.

7. Atkins J.H., Mandel J.E., Rosanova G. Safety and efficacy of drug-induced sleep endoscopy using a probability ramp propofol infusion system in patients with severe obstructive sleep apnea. Anesth. Analg., 2014, vol. 119, no. 4, pp. 805-810.

8. Babar-Craig H., Bailey P., Rajani N.K. et al. Validation of sleep nasendoscopy for assessment of snoring with bispectral index monitoring. Eur. Arch. Otorhinolaryngol., 2012, vol. 269, no. 4, pp. 1277-1279.

9. Bayliss D.A., Guyenet P.G. Neural Control of Breathing and CO2 Homeostasis. Neuron., 2015, vol. 87, no. 5, pp. 946-961.

10. Benazzo M., de Vito A., Vicini C. et al. The nose oropharynx hypopharynx and larynx (NOHL) classification: a new system of diagnostic standardized examination for OSAHS patients. Eur. Arch. Otorhinolaryngol., 2012, vol. 269, no. 4, pp. 1297-1300.

11. Benhamou D., Siyam M.A. Difficult endotracheal intubation in patients with sleep apnea syndrome. Anesth. Analg., 2002, vol. 95, no. 4, pp. 1098-1102.

12. Binici O., Kuyrukluyıldız U., Onk D. et al. Comparison of dexmedetomidine and propofol used for drug – induced sleep endoscopy in patients with obstructive sleep apnea syndrome. Int. J. Clin. Exp. Med., 2015, vol. 8, no. 4, pp. 5691-5698.

13. Braga A., Küpper D.S., Rabelo F.A. et al. Propofol – induced sleep: polysomnographic evaluation of patients with obstructive sleep apnea and controls. Otolaryngol Head Neck Surg., 2010, vol. 142, no. 2, pp. 218-224.

14. Caples S.M., Prinsell J.R., Rowley J.A. et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep, 2010, vol. 33, no. 10, pp. 1396-1407.

15. Carrasco L.M., de Vito A, Vanni A. et al. European position paper on drug –induced sedation endoscopy (DISE). Sleep Breath, 2014, vol. 18, no. 3, pp. 453-465.

16. Dallas P., Owens D.K., Qaseem A. et al Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann. Intern. Med., 2014, vol. 161, no. 3, pp. 210-220.

17. de Vries N., Hohenhorst W., Kezirian E.J. Drug-induced sleep endoscopy: the VOTE classification. Eur. Arch. Otorhinolaryngol., 2011, vol. 268, no. 8, pp. 1233-1236.

18. de Vries N., Ravesloot M.J. One hundred consecutive patients undergoing drug – induced sleep endoscopy: results and evaluation. Laryngoscope, 2011, vol. 121, no. 12, pp. 2710-2716.

19. Deegan P.C., McNicholas W.T. Pathophysiology of obstructive sleep apnoea. Eur. Respir. J., 1995, vol. 8, no. 7, pp. 1161-1178.

20. Dizdar D., Emre I. E., Civelek S. et al. Comparison of conventional continuous positive airway pressure to continuous positive airway pressure titration performed with sleep endoscopy. Laryngoscope, 2012, vol. 122, no. 3, pp. 691-695.

21. Doghramji K., Jabourian Z.H., Pilla M. et al. Predictors of outcome for uvulopalatopharyngoplasty. Laryngoscope, 1995, vol. 105, no. 3, pp. 311-314.

22. Fisher J.T., Mathew O.P., Sant’Ambrogio G. et al. Laryngeal receptors responding to transmural pressure, airflow and local muscle activity. Respir. Physiol., 1983, vol. 54, no. 3, pp. 317-330.

23. Folbe A.J., Soares D., Yoo G. et al. Drug-induced sleep endoscopy vs awake Müller’s maneuver in the diagnosis of severe upper airway obstruction. Otolaryngol Head Neck Surg., 2013, vol. 148, no. 1, pp. 151-156.

24. Franco R., Woodson B.T. Physiology of sleep disordered breathing. Otolaryngol. Clin. North Am., 2007, vol. 40, no. 4, pp. 691-711.

25. Gangwisch J.E. Epidemiological evidence for the links between sleep, circadian rhythms and metabolism. Obes. Rev., 2009, vol. 10, pp. 37-45.

26. Guilleminault C., Otsuka K., Suzuki M. et al. Blood pressure dipping and non-dipping in obstructive sleep apnea syndrome patients. SLEEP, 1996, vol. 19, no. 5, pp. 382-387.

27. Hannan S.A., Khalil H.M., Kotecha B.T. et al. Sleep nasendoscopy: a 10-year retrospective audit study. Eur. Arch. Otorhinolaryngol., 2007, vol. 264, no. 11, pp. 1361-1367.

28. Hein G., Maurer J.T., Stuck B.A. et al. Videoendoscopic assessment of uncommon sites of upper airway obstruction during sleep. Sleep Breath, 2000, vol. 4, no. 3, pp. 131-136.

29. Heo S.J., Kim J.S., Park C.M. Time-dependent changes in the obstruction pattern during drug-induced sleep endoscopy. Am. J. Otolaryngol., 2014, vol. 35, no. 1, pp. 42-47.

30. Herder C., Kox D., Richard W. et al. The role of sleep position in obstructive sleep apnea syndrome. Eur. Arch. Otorhinolaryngol., 2006, vol. 263, no. 10, pp. 946-950.

31. Higurashi N., Saigusa H., Suzuki M. Three-dimensional morphological analyses of positional dependence in patients with obstructive sleep apnea syndrome. Teikyo Med. J., 2008, vol. 31, no. 6, pp. 285-295.

32. Hiremath A.S., Hillman D.R., James A.L. et al. Relationship between difficult tracheal intubation and obstructive sleep apnoea. Br. J. Anaesth., 1998, vol. 80, no. 5, pp. 606-611.

33. Horner R.L. Impact of brainstem sleep mechanisms on pharyngeal motor control. Respir. Physiol., 2000, vol. 119, no. 2-3, pp. 113-121.

34. Isono S., Nishino T., Tanaka A. Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea. Anesthesiology, 2002, vol. 97, no. 4, pp. 780-785.

35. Jaffe R.A., Schmiesing C.A., Shafer S.L. Appendix B: Standard Adult Anesthetic Protocols. Anesthesiologist’s Manual of Surgical Procedures. 2014, pp. 1720.

36. Kairaitis K., Lam J.C., Verma M. et al. Saliva production and surface tension: influences on patency of the passive upper airway. J. Physiol., 2008, vol. 586, no. 22, pp. 5537-5547.

37. Kaliadzich Z.V., Riazechkin A., Semenik T. et al. Chemoreceptor control of gas homeostasis in patients with obstructive sleep apnea. Act. Nerv. Super. Rediviva, 2014, vol. 56, no. 3-4, pp. 73-78.

38. Kaneko T., Li Y.Q., Takada M. et al. Distribution of GABAergic and glycinergic premotor neurons projecting to the facial and hypoglossal nuclei in the rat. J. Comp. Neurol., 1997, vol. 378, no. 2, pp. 283-294.

39. Katsantonis G.P., Maas C.S., Walsh J.K. The predictive efficacy of the Muller maneuver in uvulopalatopharyngoplasty. Laryngoscope, 1989, vol. 99, no. 7, pp. 677-680.

40. Kezirian E.J. Nonresponders to pharyngeal surgery for obstructive sleep apnea: insights from drug-induced sleep endoscopy. Laryngoscope, 2011, vol. 121, no. 6, pp. 1320-1326.

41. Kim D.K., Kim S.Y., Lee C.H. et al. Changes in site of obstruction in obstructive sleep apnea patients according to sleep position: a DISE study. Laryngoscope, 2015, vol. 125, no. 1, pp. 248-254.

42. Mansukhani M.P., Somers V.K.,Wang S. Sleep, death and the heart. Am. J. Physiol. Heart Circ. Physiol., 2015, vol. 309, no. 5, pp. 739-749.

43. Mezzanotte W.S., Tangel D.J., White D.P. Influence of sleep onset on upper – airway muscle activity in apnea patients versus normal controls. Am. J. Respir. Crit. Care Med., 1996, vol. 153, no. 6, pp. 1880-1887.

44. Nena E., Papanas N., Steiropoulos P. et al. Predictors of obstructive sleep apnea in males with metabolic syndrome. Vasc. Health Risk Manag., 2010, vol. 6, pp. 281-286.

45. Vanderveken O.M., Dieltjens M., Vroegop A. et al. Sleep endoscopy with simulation bite for prediction of oral appliance treatment outcome. J. Sleep Res., 2013, vol. 22, no. 3, pp. 348-355.


Review

For citations:


Zaykina N.L., Dzyadzko A.M. PLACE OF ANESTHESIA SUPPORT IN THE DIAGNOSTIC PROCEDURE OF OBSTRUCTIVE SLEEP APNEA – SLEEP HYPOPNEA. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(3):44-50. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-3-44-50



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