Pediatric Drug Induced Sleep Endoscopy: A Simple Sedation Recipe

Ann Otol Rhinol Laryngol. 2020 May;129(5):428-433. doi: 10.1177/0003489419892292. Epub 2019 Dec 6.

Abstract

Objective: To describe a minimalist approach to sedating children for DISE procedures.

Methods: We searched existing literature and derived and tested our algorithm on patients using evidence-based studies.

Results: We were able to successfully sedate, without airway intervention, 15 highly complex children with a variety of comorbidities for DISE procedures.

Conclusion: We describe a minimalistic sedation approach for DISE procedures in highly complex children. Further studies are required to compare this regimen to natural sleep states.

Keywords: adenotonsillectomy; inhaled anesthetics; pediatrics; sleep; sleep endoscopy.

Publication types

  • Review

MeSH terms

  • Adenoidectomy / methods*
  • Administration, Inhalation
  • Anesthesia / methods*
  • Child
  • Endoscopy / methods*
  • Humans
  • Hypnotics and Sedatives / administration & dosage*
  • Polysomnography / methods
  • Sleep*
  • Tonsillectomy / methods*

Substances

  • Hypnotics and Sedatives