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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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[Sleep-related breathing disorders]

Harriet Akre1, Britt Øverland, Olav Skatvedt

  • 1Øre-nese-hals-avdelingen, Lovisenberg Diakonale Sykehus, 0440 Oslo, Norway. harriet.akre@lds.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 17, 2009
PubMed

Insights

Sleep-related breathing disorders (SRBD), including Obstructive Sleep Apnoea Syndrome (OSAS), affect 10-15% of children and adults. Early diagnosis and treatment are crucial to prevent reduced cognitive function and improve quality of life.

Area of Science:

  • Sleep Medicine
  • Respiratory Medicine

Context:

  • Sleep-related breathing disorders (SRBD) encompass various conditions affecting sleep quality and respiratory function.
  • Prevalence rates for SRBD are significant, impacting approximately 10-15% of both pediatric and adult populations.

Purpose:

  • To provide a comprehensive overview of SRBD, detailing their etiology, diagnostic methods, available treatments, and the consequences of untreated disease.
  • To highlight the specific characteristics and management of Obstructive Sleep Apnoea Syndrome (OSAS), the most severe form of SRBD.

Summary:

  • SRBD symptoms include snoring, observed apneas, and daytime sleepiness in adults, while children may exhibit hyperactivity and learning difficulties.
  • Diagnosis requires a sleep study, with continuous positive-pressure ventilation as a primary treatment for moderate to severe cases. Surgery is the preferred option for children.
  • Untreated SRBD leads to increased mortality and morbidity, including reduced cognitive function and diminished quality of life in affected individuals.

Impact:

  • Effective management of SRBD can mitigate serious health consequences, improving patient outcomes and overall well-being.
  • Understanding the diverse manifestations and treatment options for SRBD is essential for healthcare providers to offer optimal patient care.
Abstract

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