http://www.youtube.com/watch?v=TIPLrASc6jk
Dynamic Sleep Endoscopy represents a great advance in diagnosing levels of upper airway narrowing before Sleep Disorder Surgery.Drug induced sleep is obtained by giving target controlled Infusion of Propofol or Midazolam by the Anesthetist. I believe it is as an efficient and informative technique in surgical planning and increase the success rate of complex OSA surgery.
This procedure is done in an women undergoing Sleep Apnea Surgery in Jubilee Christian Mission Hospital in Trivandrum Kerala South India.
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drug induced sleep endoscopy
Sleep Apnea:Somnoendoscopy vs Dynamic MRI
http://www.youtube.com/watch?v=lSJbiVixiCQ
Drug induced Sleep Endoscopy is a valuable examination in sleep disorder surgery for OSA patients. Before surgery I prefer to do a fibre optic naso-pharyngo-laryngoscopy to asses the anatomy and dynamic behavior of upper airway during sleep, induced by IV Propofol given by the anesthetist in OT.
Dynamic MR imaging can also accurately diagnose the cause and level of upper airway narrowing in patients with OSA. But I find Sleep endoscopy gives me more information to plan the multilevel surgery needed in OSA patients. Patients with lax epiglottis direct visual examination of the larynx is better during sleep endoscopy than in Dynamic MRI.
For more videos and details, go to http://drpaulose.com
Sedated Sleep Endoscopy before Snoring and OSA Surgery
http://www.youtube.com/watch?v=hx5b1AenV0M
For more videos, go to http://drpaulose.com
Sedated sleep endoscopy, or drug-induced sleep endoscopy is a powerful tool for studying the dynamic airway in a sleeping patient with snoring and obstructive sleep apnea (OSA). Using the knowledge gained from sleep endoscopy, the surgeon can tailor the operative procedure to the patient’s specific condition.
This video reveals the various anatomic regions in the upper airway that is causing this patient snore and help to plan well as treatment options.