The drug-induced sleep endoscopy (DISE) procedure is performed by an ear, nose and throat surgeon in the operating theatre with the patient in the supine.

Slides:



Advertisements
Similar presentations
All about Respiratory System Leonardo, Andy, Marilu, Elizabeth.
Advertisements

Intro to Structure and Function. Directional Orientation Guiding Questions: 1. What does directional orientation tell you about a patient? 2. Make a chart.
Practitioners with Special Interests GPSIs. The NHS Plan (July 2000) envisaged that by 2004 ; ‘ upto 1000 specialist GPs will be taking referrals from.
Patients who had reported experiencing symptoms in the previous 7 days were asked during what times of the day the symptoms were most troublesome. a) Breathlessness,
Algorithm outlining an approach to the patient with dysphagia
Pneumothorax and the A′-profile.
The Complete Health Assessment: Putting It All Together
The BLUE points. The BLUE points. The BLUE points respect LUCI principles 3 and 7. They have been made simple for expediting protocols without loss of.
Respiratory system Lesson 7 February 8th, 2011.
A) CT scan of patient number 1, before pembrolizumab; b) CT scan of patient number 1, after 11 pembrolizumab infusions; c) CT scan of patient number 1,
Survival without tracheostomy
Decision tree of the FALLS protocol.
The Complete Health Assessment: Putting It All Together
Kaplan–Meier curve for the time until the development of lung cancer in patients with idiopathic pulmonary fibrosis. Kaplan–Meier curve for the time until.
Bland–Altman comparison of lung clearance index (LCI) from multiple breath wash-out following open and modified closed circuit wash-in for both healthy.
Electromyographic responses of the diaphagm to cervical magnetic stimulations (CMS), recorded with the intramuscular electrodes implanted for diaphragm.
Overall survival in the IFCT trial comparing a single agent therapy arm (vinorelbine or gemcitabine) and the doublet carboplatin plus weekly paclitaxel.
High resolution oesophageal manometry
Flowchart showing the requirement for starting, documenting and evaluating the effect on quality of life (QoL) of interdisciplinary best supportive care.
Response to two identical exercise tests (T1 and T2) in 278 adults and 95 children with signs and symptoms of asthma but no definite diagnosis. Response.
Schematic drawing of the VoluSense Pediatrics (VoluSense, Bergen, Norway) measurement system. Schematic drawing of the VoluSense Pediatrics (VoluSense,
Lung volume variations during quiet breathing (grey lines) and vital capacity (blue lines) in an healthy subject (left) and a muscular dystrophy patient.
Integrated research framework, bounded by population and ecology of care axes running from highly selected to managed care populations (Y-axis) and from.
A white elephant or the elephant in the room
Forest plot showing the number of adults (at the top) and children (lower down) who were admitted to hospital after treatment in the emergency department.

Axial CT scans of the chest. a) Before treatment
Asthma phenotypes identified using cluster analysis plotted according to their relative expression of symptoms and inflammation. Asthma phenotypes identified.
Summary of the specialist nurse coordinated multidisciplinary team (MDT) pathway at University Hospital Southampton Foundation Trust, Southampton, UK.
Effect of fibrinolysis on the empyema cavity size after VATS and open surgery. Effect of fibrinolysis on the empyema cavity size after VATS and open surgery.
Esophageal luminal restoration for a patient with a long lye-induced stricture via tunnel endoscopic therapy during a rendezvous procedure followed by.
Workshop Exercise (Week 6)
Arterial oxygen saturation (SaO2) patterns during sleep in obstructive sleep apnoea (OSA) alone and the overlap syndrome. Arterial oxygen saturation (SaO2)
This high-frequency ultrasonogram was obtained from a patient with severe mitral stenosis who presented with pulmonary oedema. This high-frequency ultrasonogram.
Prophylactic cranial irradiation
a) Small-bore pigtail catheter
Examples of some custom-made mandibular repositioning appliances (MRAs) used in clinical practice: a) a home-made monobloc appliance; b) the Butterfly.
Capnography traces. a) A good-quality trace showing a clear plateau that will ensure an accurate measurement of ETCO2. b) A trace from a patient with airflow.
A) Limited-channel cardiorespiratory sleep study delineating obstructive apnoeas in an infant with PRS. b) Resolution of apnoeas with an NPA in situ. a)
a) Central sleep apnoea.
Roles and functions of α1-AT in lungs of a) individuals with normal levels of protein, b) patients with deficient or null mutations, and c) patients with.
Gavin C. Harewood, MD, FRCPI, MSc  Gastrointestinal Endoscopy 
Best practice recommendations for right heart catheterisation: pressure transducer and zeroing [3, 20]. Best practice recommendations for right heart catheterisation:
Maxillomandibular advancement (MMA) surgery in OSAHS patients traditionally consists of a) a bilateral sagittal split osteotomy of the mandible and b)
A) Levels of nitrosothiols in breath condensate in normal healthy smokers and patients with chronic obstructive pulmonary disease (COPD). b) Increased.
Recordings of quiet tidal breathing at rest, followed by maximal expiration then inspiration. Recordings of quiet tidal breathing at rest, followed by.
Joshua P. Metlay, Daniel E. Singer  Clinical Microbiology and Infection 
Decline of lung function of a LTX patient who rapidly developed severe BOS at our centre. Decline of lung function of a LTX patient who rapidly developed.
Diagram of rebreathe apparatus.
A) 8-isoprostane levels in exhaled breath condensate in smokers with chronic obstructive pulmonary disease (COPD). *: p
Homogenisation of the distribution of lung aeration as a result of moving from a) the supine to b) the prone position during acute respiratory distress.
Computational fluid dynamics (CFD) results for a successfully treated patient, where mandibular advancement overcomes local airway narrowing and results.
Workshop Exercise (Week 6)
Impact of antibiotic restrictions: the patient's perspective
Impact of dose adjustment in case of adverse drug reaction (ADR; includes dose interruption and/or reduction). a) No dose adjustment and b) dose adjustment.
Some examples of patterns of upper airway collapse as documented by drug-induced sleep endoscopy: a) circular palatal collapse; b) laterolateral oropharyngeal.
Representative pressure tracings of a) pulmonary arterial pressure and b) pulmonary arterial wedge pressure (PAWP). Representative pressure tracings of.
Bland–Altman comparison of functional residual capacity (FRC) measured from multiple breath wash-out following open and modified closed circuit wash-in.
Example of resting haemodynamic characteristics of two different patients with PAH (black dots) and HFpEF–PH (open dots). Example of resting haemodynamic.
Computed tomography scan of a 45-yr-old female who presented with shortness of breath and chest pain. “Pseudo-mesotheliomatous” pleural invasion was observed.
Practitioners with Special Interests GPSIs
The European population from 1950 to 2050, with estimated population before 2006 (light background) and projected population (dark background). The European.
The gas/tissue ratio, an index of alveolar inflation in normal lung (n=14), supine (□) and prone (○) position, and lung of acute respiratory distress syndrome.
Bench test setting for automatic continuous positive airway pressure (APAP) devices. a) System to simulate the breathing pattern and airway obstructions.
Changes in responder classification and corresponding subgroup mean FEV1 at each visit after both bronchodilators using (A) American Thoracic Society and.
Percentage of positive results by pathogen among study patients with identified pathogens. “Other” includes respiratory viruses, Stenotrophomonas, Prevotella,
A) Dyspnoea response at rest, iso-time, and peak exercise in 20 patients with fibrotic interstitial lung disease during constant work-rate cycle exercise.
Flow–volume loops of test breaths and preceding control breaths of a representative chronic obstructive pulmonary disease patient with different degrees.
Flow–volume loops of test breaths and preceding control breaths of three representative chronic obstructive pulmonary disease patients with different degrees.
Tracing of tidal breathing followed by an inspiratory manoeuvre to total lung capacity (TLC) to record inspiratory capacity (IC), followed by a full expiration.
Presentation transcript:

The drug-induced sleep endoscopy (DISE) procedure is performed by an ear, nose and throat surgeon in the operating theatre with the patient in the supine position; the DISE procedure is recorded digitally. The drug-induced sleep endoscopy (DISE) procedure is performed by an ear, nose and throat surgeon in the operating theatre with the patient in the supine position; the DISE procedure is recorded digitally. O.M. Vanderveken, and A. Hoekema breathe 2010;7:157-167 ©2010 by European Respiratory Society