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How To: Practical Implementation of Sleep Endoscopy with Positive Airway Pressure in Clinical Practice

by Michael J. Hutz, MD, and Phillip LoSavio, MD, MSCR • October 18, 2022

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Use of positive airway pressure during sleep endoscopy has shown increasing promise in improving patient selection for hypoglossal nerve stimulation, and has the potential for improving patient selection for other sleep apnea interventions (JAMA Otolaryngol Head Neck Surg. 2020;146:691-698). The current cost of equipment as well as preparation and assembly of the equipment has made DISE-PAP impractical for incorporation into common practice in high-volume clinical settings. Exploiting this novel protocol, we have managed to transform a procedure that previously cost hundreds of dollars per patient to $18.60 per patient. This protocol is both financially feasible and clinically efficient, allowing DISE-PAP to become a readily available tool for sleep surgeons. 

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Explore This Issue
October 2022
Pages: 1 2 3 | Single Page

Filed Under: How I Do It, Practice Focus, Sleep Medicine Tagged With: clinical best practices, treatmentIssue: October 2022

You Might Also Like:

  • Adding Enhanced Measurements to Drug-Induced Sleep Endoscopy Aids in Distinguishing Central from Obstructive Sleep Apnea in Patients
  • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?
  • Black Race Associated with Reduced Adherence to Positive Airway Pressure Therapy in Veterans with Obstructive Sleep Apnea
  • OSA Treatment: Drug-Induced Sleep Endoscopy May Not Significantly Affect Surgical Success

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