Obstructive Sleep Apnea Clinical Trial
Official title:
Randomised Monocentric -Controlled Study to Evaluate the Efficacy and Stability of Dexmedetomidine Sedation Compared to Propofol Sedation in the Routinely Diagnostic Examination: Drug Induced Sleep Endoscopy
Obstructive Sleep Apnea Syndrome affect up 12% in adult population. It is associated with an increase rate of hypertension, metabolic syndrome, depression and adverse cardiovascular events. The evaluation of upper airway obstruction is vital to obtain site-specific treatment. Drug Induced Sleep Endoscopy (DISE) is a routinely exam which allows the direct observation of the upper airway during sedative induced sleep. Propofol and Dexmedetomidine are sedatives approved for all diagnostic examinations that required sedation.
Obstructive Sleep Apnea Syndrome affect up 12% in adult population. It is associated with an
increase rate of hypertension, metabolic syndrome, depression and adverse cardiovascular
events. The evaluation of upper airway obstruction is vital to obtain site-specific
treatment. Drug Induced Sleep Endoscopy is a routinely exam which allows the direct
observation of the upper airway during sedative induced sleep. Propofol and Dexmedetomidine
are sedatives approved for all diagnostic examinations that required sedation.
It's a Randomized Controlled study. 28 participants will be enrolled and randomized in two
groups: in the first group the sedation state will be performed with Propofol, while in the
second group will be used Dexmedetomidine for allow sedation state. The study will be
evaluate the different hemodynamic and respiratory changes during sedation in these two
different groups and differences in obstructive endoscopic anatomical patterns. This will be
the first study in whic Dexmedetomidine and Propofol will be compared according to European
DISE Recommendation published in august 2018 (references)
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