Ítem
Restringido
Relationship between level CPAP titration, anthropometric variables, and drug‐induced sleep endoscopy DISE
| dc.contributor.advisor | Buitrago Medina, Daniel Alejandro | |
| dc.contributor.advisor | Delgado Salazar, Nelsón Alexis | |
| dc.creator | Ramirez Merlano, Shirley Andrea | |
| dc.creator.degree | Especialista en Otorrinolaringología | |
| dc.creator.degreeLevel | Maestría | |
| dc.creator.degreetype | Full time | |
| dc.date.accessioned | 2023-03-06T17:21:55Z | |
| dc.date.available | 2023-03-06T17:21:55Z | |
| dc.date.created | 2023-01-13 | |
| dc.description | El objetivo de este estudio fue identificar las posibles relaciones entre el nivel terapéutico de la titulación inicial de presión positiva en las vías respiratorias y los niveles de colapso en la endoscopia del sueño inducida por fármacos (DISE). Un objetivo secundario fue establecer la relación entre las demás variables y la DISE. | |
| dc.description.abstract | Introduction Subjects with palatal obstruction alone vs. multilevel obstruction on DISE had better outcomes after palate surgery. We asked ourselves if the therapeutic level positive airway pressure (PAP) titration could predict the level of airway obstruction and its complexity. Purpose The aim of this study was to identify possible relationships between therapeutic level of positive airway pressure initial titration and levels of collapse in drug-induced sleep endoscopy (DISE). A secondary objective was to establish the relationship the other variables and DISE. Methods We analyzed retrospective clinical histories between March 2020 to March 2022 of 37 patients with polysomnog- raphy or cardiorespiratory polygraphy studies and PAP initial titration who were taken to drug-induced sleep endoscopy. Sleep study data, anthropometric variables, and patterns of airway collapse during DISE were analyzed with PAP initial titration levels. Results Most of the patients with complex collapse had concentric velum collapse (p < 0.006). A significant association was found between the apnea–hypopnea index (AHI) and oropharyngeal collapse; (p < 0.0030) and finally we demonstrated relationship between neck circumference and gender with epiglottis collapse (p < 0.046), (p < 0.037), respectively. Conclusions Our findings show a strong relationship between that complex collapses and concentric velum collapse; patients with greater oropharyngeal collapse have a higher mean AHI. Patients without epiglottic collapse have a higher mean neck circumference. An association between mean pressure initial titration and complex collapse could not be established. | |
| dc.format.extent | 11 pp | |
| dc.format.mimetype | application/pdf | |
| dc.identifier.doi | https://doi.org/10.48713/10336_38186 | |
| dc.identifier.uri | https://repository.urosario.edu.co/handle/10336/38186 | |
| dc.language.iso | spa | |
| dc.publisher | Universidad del Rosario | |
| dc.publisher.department | Escuela de Medicina y Ciencias de la Salud | |
| dc.publisher.program | Especialización en Otorrinolaringología | |
| dc.relation.uri | https://rdcu.be/c3o43 | |
| dc.rights | Attribution-NonCommercial-ShareAlike 4.0 International | * |
| dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
| dc.rights.acceso | Abierto (Texto Completo) | |
| dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | * |
| dc.source.bibliographicCitation | Dempsey JA, Veasey SC, Morgan BJ, O’Donnell CP (2010) Pathophysiology of sleep apnea. Physiol Rev 90(1):47–112. https://doi.org/10.1152/physrev.00043.2008 | |
| dc.source.bibliographicCitation | Senaratna CV, Perret JL, Lodge CJ et al (2017) Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev 34:70–81. https://doi.org/10.1016/j.smrv. 2016.07.002 | |
| dc.source.bibliographicCitation | Verbraecken JA, De Backer WA (2009) Upper airway mechanics. Respiration 78(2):121–133. https://doi.org/10.1159/000222508 | |
| dc.source.bibliographicCitation | Kushida CA, Littner MR, Morgenthaler T, Alessi CA et al (2005) Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep 28(4):499–521. https://doi.org/10.1093/sleep/28.4.499 | |
| dc.source.bibliographicCitation | Randerath WJ, Verbraecken J, Andreas S et al (2011) Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J 37(5):1000– 1028. https://doi.org/10.1183/09031936.00099710 | |
| dc.source.bibliographicCitation | De Vito A, Carrasco Llatas M, Ravesloot MJ et al (2018) Euro- pean position paper on drug-induced sleep endoscopy: 2017 update. Clin Otolaryngol 43(6):1541–1552. https://doi.org/10. 1111/coa.13213 | |
| dc.source.bibliographicCitation | Croft CB, Pringle M (1991) Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolar- yngol Allied Sci 16(5):504–509. https://doi.org/10.1111/j.1365- 2273.1991.tb02103.x | |
| dc.source.bibliographicCitation | Chong K, Vito A, Vicini C (2019) Drug-induced sleep endos- copy in treatment options selection. Sleep Med Clin 14(1):33–40. https://doi.org/10.1016/j.jsmc.2018.11.001 | |
| dc.source.bibliographicCitation | Vanderveken OM (2018) Drug-induced sleep endoscopy (DISE) as a guide towards upper airway behavior and treatment outcome: the quest for a vigorous standardization of DISE. Sleep Breath 22(4):897–899. https://doi.org/10.1007/s11325-018-1743-2 | |
| dc.source.bibliographicCitation | Barends CR, Absalom A, van Minnen B et al (2017) Dexmedeto- midine versus midazolam in procedural sedation. A systematic review of efficacy and safety. PLoS One 12(1):e0169525. https:// doi.org/10.1371/journal.pone.0169525 | |
| dc.source.bibliographicCitation | Hessel NS, Vries N (2004) Increase of the apnoea-hypopnoea index after uvulopalatopharyngoplasty: analysis of failure. Clin Otolaryngol Allied Sci 29:682–685. https://doi.org/10.1111/j. 1365-2273.2004.00864.x | |
| dc.source.bibliographicCitation | Johal A, Battagel JM, Kotecha BT (2005) Sleep nasendoscopy: a diagnostic tool for predicting treatment success with mandibular advancement splints in obstructive sleep apnoea. Eur J Orthod 27:607–614. https://doi.org/10.1093/ejo/cji063 | |
| dc.source.bibliographicCitation | Op de Beeck S, Dieltjens M, Verbruggen AE et al (2019) Phe- notypic labelling using drug-induced sleep endoscopy improves patient selection for mandibular advancement device outcome: a prospective study. J Clin Sleep Med 15(8):1089–1099. https://doi. org/10.5664/jcsm.7796 | |
| dc.source.bibliographicCitation | Torre C, Camacho M, Liu SY et al (2016) Epiglottis collapse in adult obstructive sleep apnea: a systematic review. Laryngoscope 126(2):515–523. https://doi.org/10.1002/lary.25589 | |
| dc.source.bibliographicCitation | Woodson BT (2015) A method to describe the pharyngeal airway. Laryngoscope 125:1233–1238. https://doi.org/10.1002/lary.24972 | |
| dc.source.instname | instname:Universidad del Rosario | |
| dc.source.reponame | reponame:Repositorio Institucional EdocUR | |
| dc.subject | Apnea obstructiva del sueño | |
| dc.subject | Colapso epiglótico | |
| dc.subject | Presión positiva continua en la vía aérea | |
| dc.subject | Presión positiva en las vías respiratorias | |
| dc.subject | Endoscopia del sueño inducida por fármacos | |
| dc.subject | Titulación automática | |
| dc.subject.keyword | Obstructive sleep apnea | |
| dc.subject.keyword | Epiglottic collapse | |
| dc.subject.keyword | Continuous positive airway pressure | |
| dc.subject.keyword | Positive airway pressure | |
| dc.subject.keyword | Drug-induced sleep endoscopy | |
| dc.subject.keyword | Automatic titration | |
| dc.title | Relationship between level CPAP titration, anthropometric variables, and drug‐induced sleep endoscopy DISE | |
| dc.title.TranslatedTitle | Relación entre el nivel de titulación inicial CPAP, variables antropométricas, y endoscopia inducida del sueño | |
| dc.type | bachelorThesis | |
| dc.type.document | Artículo | |
| dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
| dc.type.spa | Trabajo de grado | |
| local.department.report | Escuela de Medicina y Ciencias de la Salud |
Archivos
Bloque original
1 - 2 de 2
Cargando...
- Nombre:
- Relationship-between-level-CPAPs00405-022-07771-3 (1).pdf
- Tamaño:
- 554.41 KB
- Formato:
- Adobe Portable Document Format
- Descripción:
Cargando...
- Nombre:
- Relationship-between-level-CPAP-titration.pdf
- Tamaño:
- 479.68 KB
- Formato:
- Adobe Portable Document Format
- Descripción:
