VOLUME

DIAGNOSING OBSTRUCTIVE SLEEP APNEA BY PERFORMING FIBEROPTIC BRONCHOSCOPY AND PEEP TITRATION OF MASK CONTINUOUS POSITIVE AIRWAY PRESSURE

FEBRUARY 2016 - VOL.11 | ORIGINAL ARTICLE

OBJECTIVE:

This study was conducted to pioneer a new technique of diagnosing obstructive sleep apnea using fiberoptic bronchoscopy (FOB) and mask continuous positive airway pressure (CPAP), supported by sleep questionnaires and a portable sleep study procedure.

MATERIALS AND METHODS:

Ten patients suspected of obstructive sleep apnea (OSA) who needed to undergo FOB for other reasons aside from sleep apnea were diagnosed with OSA by using FOB and CPAP.

RESULTS:

From the sleep study, the mean apnea-hypopnea index (AHI) was 21 events per hour. All the patients had been using CPAP, and tolerated how the machine operates. Nobody reported any difficulty during the follow-up checkup.

CONCLUSION:

This new technique is not only practical, cost-efficient, time-saving and beneficial for both patient and physician but it may also be considered as the new gold standard in diagnosing OSA.

Keywords:

obstructive sleep apnea, fiberoptic bronchoscopy, mask continuous positive airway pressure

DOI:

10.31524/bkkmedj.2016.02.001

MEDIA

Figure 1:

The patient with CPAP mask is diagnosed with obstructive sleep apnea.

Figure 2:

A direct visualization of closed airway of a moderately sedated patient seen via FOB.

Figure 3:

The airway dilates when CPAP was applied to the patient.

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