What must be discussed with the anesthesia team prior to performing sleep endoscopy?

Updated: Aug 21, 2019
  • Author: Philip E Zapanta, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Third, the surgeon needs to communicate with the anesthesia team. It is ideal to have a preferred anesthesiologist who understands the goal of DISE. Snoring that leads to witnessed obstructive sleep apnea is the goal of DISE, and the anesthesiologist must not be afraid of obstructive events on the table. Desaturations are expected and should be tolerated within reason. It is helpful to point out that patients with OSA experience obstructive episodes and desaturations continually in the privacy of their own bedroom.

Blow-by oxygen is permitted. No paralytics should be administered until the time of endotracheal intubation.


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