PMID- 33672569 OWN - NLM STAT- MEDLINE DCOM- 20210423 LR - 20210423 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 4 DP - 2021 Feb 20 TI - The Use of Middle Latency Auditory Evoked Potentials (MLAEP) as Methodology for Evaluating Sedation Level in Propofol-Drug Induced Sleep Endoscopy (DISE) Procedure. LID - 10.3390/ijerph18042070 [doi] LID - 2070 AB - 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. FAU - Arigliani, Michele AU - Arigliani M AD - ENT Unit, "V.Fazzi" Hospital, 73100 ASL Lecce, Italy. FAU - Toraldo, Domenico M AU - Toraldo DM AD - Department of Rehabilitation, Cardiorespiratory Rehabilitation Unit, "V.Fazzi" Hospital, 73100 ASL Lecce, Italy. FAU - Ciavolino, Enrico AU - Ciavolino E AD - Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy. AD - Wyzsza Szkola Bankowa w Gdansku, aleja Grunwaldzka 238A, 80-266 Gdansk, Poland. FAU - Lattante, Caterina AU - Lattante C AD - Anesthesia and Intensive Care Department, "V.Fazzi" Hospital, 73100 ASL Lecce, Italy. FAU - Conte, Luana AU - Conte L AUID- ORCID: 0000-0002-8741-3478 AD - Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) at the "V Fazzi" Hospital, 73100 Lecce, Italy. AD - Laboratory of Advanced Data Analysis for Medicine (ADAM), Department of Mathematics and Physics "E. De Giorgi", University of Salento, 73100 Lecce, Italy. FAU - Arima, Serena AU - Arima S AD - Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy. FAU - Arigliani, Caterina AU - Arigliani C AD - General Medicine Department, Univerzita Pavla Jozefa Safarika, 04001 Kosiciach, Slovakia. FAU - Palumbo, Antonio AU - Palumbo A AD - ENT Unit, "V.Fazzi" Hospital, 73100 ASL Lecce, Italy. FAU - De Benedetto, Michele AU - De Benedetto M AD - ENT Unit, "V.Fazzi" Hospital, 73100 ASL Lecce, Italy. LA - eng PT - Journal Article DEP - 20210220 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Pharmaceutical Preparations) RN - YI7VU623SF (Propofol) SB - IM MH - Endoscopy MH - Evoked Potentials, Auditory MH - Humans MH - *Pharmaceutical Preparations MH - *Propofol MH - Sleep PMC - PMC7924024 OTO - NOTNLM OT - MLAEP index OT - auditory evoked potentials OT - bispectral index OT - central sleep apnea OT - drug-induced sleep endoscopy OT - middle latency auditory evoked potentials OT - obstructive sleep apnea OT - positive airway pressure OT - propofol COIS- The authors declare no conflict of interest. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. EDAT- 2021/03/07 06:00 MHDA- 2021/04/24 06:00 PMCR- 2021/02/01 CRDT- 2021/03/06 01:13 PHST- 2020/12/15 00:00 [received] PHST- 2021/02/04 00:00 [revised] PHST- 2021/02/12 00:00 [accepted] PHST- 2021/03/06 01:13 [entrez] PHST- 2021/03/07 06:00 [pubmed] PHST- 2021/04/24 06:00 [medline] PHST- 2021/02/01 00:00 [pmc-release] AID - ijerph18042070 [pii] AID - ijerph-18-02070 [pii] AID - 10.3390/ijerph18042070 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Feb 20;18(4):2070. doi: 10.3390/ijerph18042070.