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Updated: Oct 22, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

20.1K

Management of obstructive sleep apnea in children: a Canada-wide survey

J Cousineau1, A-S Prévost1, M-C Battista2

  • 1Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, Université de Sherbrooke, CIUSSSE-CHUS - 580 rue Bowen Sud, Sherbrooke, QC, J1G 2E8, Canada.

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'Oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale
|September 1, 2021
PubMed

Insights

Pediatric obstructive sleep apnea management lacks consensus among Canadian otolaryngologists, particularly regarding drug-induced sleep endoscopy (DISE) use and timing. Further standardization is needed for optimal treatment and to prevent unnecessary surgeries.

Area of Science:

  • Otolaryngology
  • Pediatric Sleep Medicine
  • Diagnostic Endoscopy

Background:

  • Obstructive sleep apnea (OSA) often persists in children post-adenotonsillectomy.
  • Drug-induced sleep endoscopy (DISE) is increasingly used for pediatric OSA assessment but lacks standardized protocols.
  • Canadian otolaryngologists' current practices in managing pediatric OSA were investigated.

Purpose of the Study:

  • To document the current practice patterns of Canadian otolaryngologists in managing pediatric obstructive sleep apnea.
  • To assess the indications, performance, and management strategies related to drug-induced sleep endoscopy (DISE) in children.
  • To identify areas of consensus and lack of consensus in the management of pediatric OSA.

Main Methods:

  • A nationwide online cross-sectional survey was distributed to Canadian otolaryngologists.
  • The 58-question survey assessed management of pediatric OSA and the use of DISE.
  • Consensus was defined as at least 75% agreement among respondents.

Main Results:

  • A low overall agreement rate (55%) was observed across 109 respondents regarding pediatric OSA management.
  • Consensus was reached on clinical assessment methods for OSA and adenotonsillar hypertrophy.
  • No consensus existed on anesthetic protocols or scoring systems for DISE; it was primarily used post-adenotonsillectomy.

Conclusions:

  • Significant lack of consensus exists in the Canadian management of pediatric obstructive sleep apnea and the utilization of DISE.
  • Key aspects of DISE, including optimal timing to potentially avoid unnecessary tonsillectomies, require further clarification and standardization.
Abstract

Keywords:
ChildDISEDiagnosisEndoscopyPediatricSleep apneaTreatment

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