Dr Paulose

World Class ENT Plastic and Laser Surgeon

dynamic sleep endoscopy

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Snoring in Women:Drug Induced Sleep (Somno) Endoscopy


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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Sleep Apnea:Sleep Endoscopy before OSA Surgery


Successful surgical treatment of obstructive sleep apnea is based on the accurate identification of the pattern of airway obstruction . During drug-induced sleep endoscopy, patients receive sedation administered by an anesthesiologist in the operating room.
Here a Sleep Apnea patient undergoes Sleep endoscopy in Jubilee Hospital Trivandrum Kerala South India,before multilevel surgery is undertaken.

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General Anesthesia :Laryngoscopy First


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Before putting a patient in to sleep by giving anesthesia, the Anesthetist examine the larynx of the patient.This help him to prepare for difficult intubation. Dr.Thomas, the senior anesthetist in Jubilee Hospital, is performing flexible fiber optic laryngoscopy in a parayzed patient.