Evidence map›Paper›PMID 24859484›Full record

GuidelineSleep & breathing = Schlaf & Atmung2014

European position paper on drug-induced sedation endoscopy (DISE).

Andrea De Vito, Marina Carrasco Llatas, Agnoletti Vanni, Marcello Bosi, Alberto Braghiroli, Aldo Campanini, Nico de Vries, Evert Hamans, Winfried Hohenhorst, Bhik T Kotecha and 6 more

2 registry-linked trialsAbstract readConsensus StatementGuideline
PubMed Publisher
In one paragraph

Guideline in Sleep & breathing = Schlaf & Atmung, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 129 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02855515 nacompletednot on this mapstarted 2016, after this paper: background citation

The Role of Drug-Induced Sleep Endoscopy for the Optimisation of Treatment of Patients With Obstruction Sleep Apnoea

TypeinterventionalSponsorUniversity Hospital OstravaRan2016 to 2019Enrolled120ConditionsObstructive Sleep Apnoea, Sleep-Disordered BreathingArmsShort-time diagnostic anaesthesia
NCT03224936 completednot on this mapstarted 2017, after this paper: background citation

Propofolsleep - A Observational Study on Cardiopulmonary and Pharyngeal Reactions While Drug Induced Sleep Endoscopy in Patients With Obstructive Sleep Apnea Syndrome Under PSI Monitoring

TypeobservationalSponsorCharite University, Berlin, GermanyRan2017 to 2019Enrolled20ConditionsSleep Apnea, Obstructive, Electroencephalography, Echocardiography, Blood Gas Monitoring, TranscutaneousArmsPSI
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  11. The importance of drug-induced sedation endoscopy (D.I.S.E.) techniques in surgical decision making: conventional versus target controlled infusion techniques-a prospective randomized controlled study and a retrospective surgical outcomes analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
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  13. Upper airway structural changes induced by CPAP in OSAS patients: a study using drug-induced sleep endoscopy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
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  20. The Impact of BMI on the Differences Between Drug-Induced Sleep Endoscopy and Müller Maneuver.World journal of otorhinolaryngology - head and neck surgery · 2026
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69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Andrea De VitoSpecial Surgery Department, Ear-Nose-Throat Unit, Morgagni-Pierantoni Hospital, Via Forlanini 34, 47121, Forlì, Italy.
Marina Carrasco Llatas
Agnoletti Vanni
Marcello Bosi
Alberto Braghiroli
Aldo Campanini
Nico de Vries
Evert Hamans
Winfried Hohenhorst
Bhik T Kotecha
Joachim Maurer
Filippo Montevecchi
Ottavio Piccin
Giovanni Sorrenti
Olivier M Vanderveken
Claudio Vicini

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough drug-induced sedation endoscopy (DISE) represents the most widespread diagnostic tool for upper airway endoscopic evaluation of snoring and obstructive sleep apnea hypopnea syndrome (OSAHS), many controversies exist about how to perform the sedation, the indications for DISE, and how to report DISE findings. The present position paper reports on a consensus as proposed by a group of European experts in the field of DISE after discussion during a recent dedicated meeting.

methodsThe authors have evaluated all the available evidence reported in the literature and have compared experience among various departments in leading European centers in order to provide a standardization of the DISE procedure and an in-depth insight in the main aspects of this technique.

resultsA proposal of the DISE procedure standardization has been achieved with a general agreement concerning the terminology, indications, contraindications, required preliminary examinations, setting, technical equipment required, staffing, local anesthesia and nasal decongestion, patient positioning, basis and special diagnostic maneuvers, and the applied sedation drugs and observation windows. Otherwise, no consensus has been reached on a scoring and classification system.

conclusionsAlthough consensus has been reached on several aspects of the DISE procedure, some topics remain open to future research, such as a better analysis of the importance of positional aspects during DISE and a further comparison of the differences in degree, level and pattern of upper airway collapse observed during DISE versus during natural sleep and awake endoscopy. Finally, a universally accepted scoring and classification system is lacking.

Indexed as

EndoscopyMidazolamProcedural SedationPropofolAirway ObstructionDrug Therapy, CombinationEuropeEvidence-Based MedicineHumansOtorhinolaryngologic DiseasesSleep Apnea, ObstructiveMidazolamPropofol

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.