Diagnosing Obstructive Sleep Apnea by Performing Fiberoptic Bronchoscopy and PEEP Titration of Mask Continuous Positive Airway Pressure

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Sawang Saenghirunvattana, MD
Chao Saenghirunvattana, MD
Chittisak Napairee, MD
Pakorn Pupipat, MD
Maria Christina Gonzales, RN
Kritsana Sutthisri, BSc
Chitchamai Siangpro, BSc


OBJECTIVE: This study was conducted to pioneer a new technique of diagnosingobstructive sleep apnea using fi beroptic bronchoscopy (FOB) and mask continuouspositive airway pressure (CPAP), supported by sleep questionnaires and a portablesleep 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 werediagnosed with OSA by using FOB and CPAP.

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

CONCLUSION: This new technique is not only practical, cost-effi cient, time-savingand benefi cial for both patient and physician but it may also be considered as the newgold standard in diagnosing OSA.


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Saenghirunvattana S, Saenghirunvattana C, Napairee C, Pupipat P, Gonzales MC, Sutthisri K, Siangpro C. Diagnosing Obstructive Sleep Apnea by Performing Fiberoptic Bronchoscopy and PEEP Titration of Mask Continuous Positive Airway Pressure. BKK Med J [Internet]. 2016 Feb. 19 [cited 2023 Dec. 11];11(1):1. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221401
Original Article


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