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Since 2014, new studies have been published concerning new sedative agents or new insights into the pattern\/levels of the obstruction depending on the depth of sedation. Therefore, an enlarged group of European experts in the field of sleep breathing disorders (\n                      <jats:styled-content style=\"fixed-case\">SBD<\/jats:styled-content>\n                      ), including the most of the first\n                      <jats:styled-content style=\"fixed-case\">DISE EPP<\/jats:styled-content>\n                      main authors, has decided to publish an update of the European position paper on\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      , in order to include new evidence and to find a common language useful for reporting the findings of this endoscopic evaluation in adult population affected by\n                      <jats:styled-content style=\"fixed-case\">SBD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The authors have evaluated all the available evidence reported in the literature and have compared experience among various departments in leading European centres in order to provide an update regarding the standardisation of the\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      procedure and an in\u2010depth insight into the main aspects of this technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After the first European Position Consensus Meeting on\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      and its update, consensus was confirmed for indications, required preliminary examinations, where to perform\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      , technical equipment required, staffing, local anaesthesia, nasal decongestion, other medications, patient positioning, basics and special diagnostic manoeuvres, drugs and observation windows. So far, no consensus could be reached on a scoring and classification system. However, regarding this aim, the idea of an essential classification, such as\n                      <jats:styled-content style=\"fixed-case\">VOTE<\/jats:styled-content>\n                      with the possibility of its graded implementation of information and descriptions, seems to be the best way to reach a universal consensus on\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      classification at this stage. A common\n                      <jats:styled-content style=\"fixed-case\">DISE<\/jats:styled-content>\n                      language is mandatory, and attempts to come to a generally accepted system should be pursued.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.13213","type":"journal-article","created":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T14:56:14Z","timestamp":1534949774000},"page":"1541-1552","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":244,"title":["European position paper on drug\u2010induced sleep endoscopy: 2017 Update"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9802-7716","authenticated-orcid":false,"given":"Andrea","family":"De Vito","sequence":"first","affiliation":[{"name":"Head and Neck Department ENT &amp; Oral Surgery Unit Morgagni\u2010Pierantoni Hospital Forl\u00ec Italy"},{"name":"ENT Unit Santa Maria delle Croci Hospital Ravenna AUSL of Romagna Romagna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Carrasco Llatas","sequence":"additional","affiliation":[{"name":"ENT Clinic Hospital Universitario Doctor Peset Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline J.","family":"Ravesloot","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery OLVG Amsterdam The Netherlands"},{"name":"Medisch Centrum Jan van Goyen Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhik","family":"Kotecha","sequence":"additional","affiliation":[{"name":"Royal National Throat Nose &amp; Ear Hospital UCLH London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico","family":"De Vries","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, OLVG Hospital and ACTA Amsterdam Netherlands"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery Multidisciplinary Sleep Disorders Center University of Antwerp Antwerp Belgium"},{"name":"Department of Oral Kinesiology Academic Centre for Dentistry MOVE Inst. 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