Dr Sunit Saxena ( MD (Anaesthesiology), HOD Anaesthesia and OT, Manipal Hospital, Jaipur), Dr Bhavya Sinha ( 3rd Year PG, DNB Anaesthesia)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Sleep endoscopy (DISE) is a vital diagnostic tool for assessing upper airway obstruction in obstructive sleep apnea (OSA). This study reviews anesthesia techniques and safety considerations for DISE in 100 patients over one year. Using propofol titration guided by the Schnider model, a controlled sedative state mimicking natural sleep was achieved in all cases, enabling effective visualization of airway dynamics. Moderate sedation was attained with minimal complications, such as rare instances of airway obstruction, promptly managed with established protocols. The findings emphasize the importance of precise anesthesia techniques and vigilant monitoring to enhance DISE’s diagnostic accuracy and patient safety.

Keywords: Sleep endoscopy, Obstructive sleep apnea, Drug-induced sleep endoscopy, Anesthesia, Propofol, Airway management, Sedation protocols.