Published: February 1, 2021

NEW! Expert Consensus Statement: Pediatric Drug-Induced Sleep Endoscopy

The new Expert Consensus Statement (ECS): Pediatric Drug-Induced Sleep Endoscopy (DISE) was published online in Otolaryngology–Head and Neck Surgery on January 5.

Ecs Dise

The new Expert Consensus Statement (ECS): Pediatric Drug-Induced Sleep Endoscopy (DISE) was published online in Otolaryngology–Head and Neck Surgery on January 5. Cristina M. Baldassari, MD, chaired the ECS development panel, which comprised a panel of content experts on pediatric DISE. The purpose of the ECS is to identify areas of consensus regarding the appropriate indications, perioperative protocols, and interpretation of DISE in children 0-18 years of age. The primary aim was to develop statements that would address areas of controversy with the goal of reducing practice variation and improving the quality of care for pediatric obstructive sleep apnea patients. 

The panel was able to reach consensus on 26 statements after two iterative Delphi method surveys. An additional 11 statements failed to achieve consensus. The statements were grouped into the following categories: indications, protocol, optimal sedation, grading and interpretation, complications and safety, and outcomes for DISE-directed surgery. 

Areas where knowledge gaps and lack of evidence exist identified opportunities for future research. In the meantime, clinicians can use these statements to improve quality of care, inform policy and protocols, and identify areas of uncertainty. 

The AAO-HNSF recognizes the valuable contributions made by Dr. Baldassari and the panel in the development of this new ECS. 

Read ECS: Pediatric DISE now by visiting https://journals.sagepub.com/doi/full/10.1177/0194599820985000. 

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