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The Use of Middle Latency Auditory Evoked Potentials (MLAEP) as Methodology for Evaluating Sedation Level in Propofol-Drug Induced Sleep Endoscopy (DISE) Procedure

Author

Listed:
  • Michele Arigliani

    (ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy)

  • Domenico M. Toraldo

    (Department of Rehabilitation, Cardiorespiratory Rehabilitation Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy)

  • Enrico Ciavolino

    (Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy
    Wyższa Szkoła Bankowa w Gdańsku, aleja Grunwaldzka 238A, 80-266 Gdańsk, Poland)

  • Caterina Lattante

    (Anesthesia and Intensive Care Department, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy)

  • Luana Conte

    (Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) at the “V Fazzi” Hospital, 73100 Lecce, Italy
    Laboratory of Advanced Data Analysis for Medicine (ADAM), Department of Mathematics and Physics “E. De Giorgi”, University of Salento, 73100 Lecce, Italy)

  • Serena Arima

    (Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy)

  • Caterina Arigliani

    (General Medicine Department, Univerzita Pavla Jozefa Safarika, 04001 Kosiciach, Slovakia)

  • Antonio Palumbo

    (ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy)

  • Michele De Benedetto

    (ENT Unit, “V.Fazzi” Hospital, 73100 ASL Lecce, Italy)

Abstract

To analyze the middle latency auditory evoked potential index (MLAEPi), compared to the standard bispectral index (BIS), as a method for evaluating the sedation level in drug-induced sleep endoscopy (DISE). In this controlled clinical study on a sample of 99 obstructive sleep apnea (OSA) or snoring patients, we compared the MLAEPi with the BIS after propofol infusion during the standard DISE technique in order to define the MLAEPi values within the observational window of the procedure. The DISE procedure was divided into eight steps, and we collected both MLAEPi and BIS data values from the same patient in every step. The MLAEPi showed a faster response than the BIS after propofol infusion during DISE. Therefore, the clinical use of the MLAEPi in evaluating the sedation level seems to be a good alternative to the current technological standards.

Suggested Citation

  • Michele Arigliani & Domenico M. Toraldo & Enrico Ciavolino & Caterina Lattante & Luana Conte & Serena Arima & Caterina Arigliani & Antonio Palumbo & Michele De Benedetto, 2021. "The Use of Middle Latency Auditory Evoked Potentials (MLAEP) as Methodology for Evaluating Sedation Level in Propofol-Drug Induced Sleep Endoscopy (DISE) Procedure," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2070-:d:502695
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    References listed on IDEAS

    as
    1. Michele Arigliani & Domenico M. Toraldo & Filippo Montevecchi & Luana Conte & Lorenzo Galasso & Filippo De Rosa & Caterina Lattante & Enrico Ciavolino & Caterina Arigliani & Antonio Palumbo & Michele , 2020. "A New Technological Advancement of the Drug-Induced Sleep Endoscopy (DISE) Procedure: The “All in One Glance” Strategy," IJERPH, MDPI, vol. 17(12), pages 1-11, June.
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    Cited by:

    1. Giannicola Iannella & Giuseppe Magliulo & Antonio Greco & Marco de Vincentiis & Massimo Ralli & Antonino Maniaci & Annalisa Pace & Claudio Vicini, 2022. "Obstructive Sleep Apnea Syndrome: From Symptoms to Treatment," IJERPH, MDPI, vol. 19(4), pages 1-3, February.

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