Anesthetic management for simultaneous drug-induced sleep endoscopy and maxillomandibular advancement in a patient with obstructive sleep apnea
Kuk Tae-Seong, 소은선, 감명환, 김지민, 지성인, 김현정, 서광석, 온성운, 최진영,
소속 상세정보
( Kuk Tae-Seong ) - Seoul National University Dental Hospital Department of Oral and Maxillofacial Surgery
소은선 ( So Eun-Sun ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
감명환 ( Karm Myong-Hwan ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
김지민 ( Kim Ji-Min ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
지성인 ( Chi Seong-In ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
김현정 ( Kim Hyun-Jeong ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
온성운 ( On Sung-Woon ) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Dentistry
최진영 ( Choi Jin-Young ) - Seoul National University Dental Hospital Department of Oral and Maxillofacial Surgery
KMID : 0980320170170010071
Abstract
Drug-induced sleep endoscopy (DISE) is used to identify areas of upper airway obstruction, which occurs when patients with obstructive sleep apnea (OSA) snore. DISE enables effective diagnosis and appropriate treatment of the obstruction site. Among surgical treatment methods for OSA, maxillomandibular advancement surgery (MMA) is performed to move a jaw forward; the surgery has a high success rate for OSA treatment. In DISE, anesthetics such as propofol and midazolam must be administered to induce snoring while the patient is deeply sedated for an accurate diagnosis to be made. When inducing deep sedation in a patient with OSA, airway obstruction may increase, causing oxygen saturation to drop; airway interventions are necessary in such cases. Effective DISE and MMA surgery can be performed by administering propofol through target-controlled infusion while monitoring the bispectral index (BIS).
키워드
Drug Induced Sleep Endoscopy; Obstructive Sleep Apnea; Propofol
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