Evidence map›Paper›PMID 40241663›Full record

ArticleClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2025

Evaluation of Sleep Stages During Drug-Induced Sleep Endoscopy in Pediatric Patients with Obstructive Sleep Apnea: A Pilot Study.

Audrey Abend, Chase Hintelmann, Katherine H Dinh, Darius Uknuis, Usman Shah, Maya Ramagopal, Kelvin Kwong

Abstract read
In one paragraph

Article in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Audrey AbendRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.ORCID 0009-0004-1515-3859
Chase HintelmannRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Katherine H DinhRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Darius UknuisRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Usman ShahDepartment of Anesthesiology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Maya RamagopalRutgers Robert Wood Johnson Sleep Laboratory, New Brunswick, New Jersey, USA.
Kelvin KwongDivision of Pediatric Otolaryngology, Department of Otolaryngology Head & Neck Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDrug-induced sleep endoscopy (DISE) is a valuable tool for the assessment of the upper airway in paediatric obstructive sleep apnoea (OSA). General anaesthesia induces sleep-like conditions during DISE; however, there is limited understanding of the neurophysiological aspects of this sleep. We conducted a prospective cohort pilot study recording electroencephalogram (EEG), electrooculogram (EOG) and electromyogram (EMG) data in paediatric OSA patients during DISE.

objectivesDemonstrate the safety and feasibility of collecting sleep stages during DISE in paediatric patients with OSA. Characterise sleep stages of paediatric OSA patients undergoing DISE.

designProspective cohort pilot study.

settingAcademic medical centre.

participantsPatients between two (2) and 18 years old (inclusive) with a history of OSA and preoperative polysomnography (PSG) were recruited. Patients with known craniofacial abnormalities were excluded. Non-English or non-Spanish speaking subjects were excluded.

resultsWe recruited 13 subjects aged 3 to 13 years old. EEG, EOG, and EMG data was collected during the DISE procedure. Raw data was scored by a board-certified sleep medicine physician. Six subjects experienced N1 sleep, 12 subjects experienced N2 sleep, and 5 subjects experienced N3 sleep. Most subjects spent the majority of their time in N2 sleep. No subjects experienced REM sleep. The primary intravenous sedative agent used was dexmedetomidine.

conclusionThis pilot study gives the first insight into sleep stages of paediatric OSA patients undergoing DISE. Additional investigation of the neurophysiology and the effects of different intravenous anaesthetics during the DISE procedure is warranted.

Indexed as

EndoscopySleep Apnea, ObstructiveSleep StagesAdolescentChildChild, PreschoolElectroencephalographyElectromyographyElectrooculographyFeasibility StudiesFemaleHumansHypnotics and SedativesMalePilot ProjectsPolysomnographyHypnotics and Sedativesdrug‐induced sleep endoscopyobstructive sleep apneapaediatric sleepsleep‐disordered breathing (SDB)sleep medicinesnoring

Identifiers

PMID40241663
PMCPMC12128016

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.