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Updated: Aug 6, 2026

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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Precision in Pediatric Obstructive Sleep Apnea: Preventing Unnecessary Surgery Using Drug-Induced Sleep Endoscopy
Sofia Freitas1, Ana S Cruz1, Isabel E Costa2
1Anesthesiology, Unidade Local de Saúde de Braga, Braga, PRT.
Cureus
|July 23, 2026
Summary
Drug-induced sleep endoscopy (DISE) identified positional epiglottic collapse as the main cause of severe obstructive sleep apnea (OSA) in an obese child, guiding personalized treatment and avoiding unnecessary surgery.
Area of Science:
- Pediatric Pulmonology
- Otolaryngology
- Sleep Medicine
Background:
- Pediatric obstructive sleep apnea (OSA) diagnosis can be challenging, as awake assessments may not reveal the true site of upper airway obstruction.
- Drug-induced sleep endoscopy (DISE) offers a dynamic evaluation under sleep conditions, crucial for identifying obstruction patterns, especially in high-risk children.
- Obesity and neurocognitive impairment are significant factors in severe pediatric OSA.

