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Updated: Feb 21, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
A 4-week wait 'fast-track' sleep service is effective at establishing vocational drivers on continuous positive
Sophie D West1, Beatrice Downie2, Gillian Olds2
1Newcastle Regional Sleep Service, Newcastle upon Tyne Hospitals NHS Foundation Trust Trust, Newcastle upon Tyne, UK Sophie.west@nuth.nhs.uk.
Abstract:
We sought to establish whether an expedited or 'fast-track' NHS service to diagnose obstructive sleep apnoea (OSA) and establish vocational drivers on continuous positive airway pressure (CPAP) within 4 weeks of referral was possible. This model is recommended by the OSA Partnership Group. In total, 55 vocational drivers were referred to two sleep services. Assessment showed 73% had moderate or severe OSA on sleep study. Of those commenced on CPAP, review was a mean of 15 days after initiation (range 3-62 days). Median time from referral (or first clinic visit) to review on CPAP was 32 days, showing a 'fast-track' pathway is deliverable.
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