Drug-Induced Sleep Endoscopy, Obstructive Sleep Apnea
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: both sexes aged between 18-50 years old classified as American Society of Anesthesiologists ASA physical status I, II, III, diagnosed as OSAS by clinical criteria(snoring , morning headache, day sleepiness and tiredness) and polysomnography (apnea hypopnea index>5)
Exclusion criteria
Exclusion criteria: 1- Patients who refuse to give informed consent 2- Patients with a baseline oxygen desaturation (resting hypoxemia <95 %) 3- Patients with Mallampati scores of III-IV 4- Patients who are pregnant 5- Patients with frank aspiration history 6- Drug abusers or those having history of chronic anal¬gesic use 7- Patients who known to have allergy against the study drugs, 8- Patients with IInd-IIIrd degree A-V block, pulmonary hypertension ,uncontrolled systemic hypertension, mitral stenosis, aortic stenosis or ischemic heart diseases will be excluded 9- Patients with psychiatric dis¬orders will be also excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| measurement of the incidence of oxygen desaturation among the three groups. Oxygen desaturation is defined as oxygen saturation <90% for more than 30 s, measured using pulse oximetry(9). | — |
Secondary
| Measure | Time frame |
|---|---|
| ¿ cough reflex (cough and/or sneezing) incidence | — |
Countries
Egypt
Contacts
Lecturer of anesthesiology and surgical ICU Faculty of medicine-Tanta University