Pdf how to interpret the results of a sleep study researchgate. Cambridge core respiratory medicine case studies in polysomnography interpretation edited by robert c. Written for sleep technologists, clinical atlas of polysomnography is a comprehensive guide to basic information regarding normal sleep, sleep disorders, and electrophysiology that is outside of. The studies conducted by kato et al, 8 schluter et al, 5 and kahn 4 evaluated the agerelated changes in normal values of polysomnographic variables in infants. The studies are performed to diagnose a variety of sleep disorders and to evaluate a. Polysomnography refers to the recording, analysis, and interpretation of multiple physiologic signals collected simultaneously. Essentials of polysomnography download ebook pdf, epub. What is the difference between obstructive and mixed sleep apnea and what are clinical implications of such a distinction. Reduced rapid eye movement density in parkinson disease. Sleep apnea may be due to an occlusion of the airway obstructive apnea, absence of respiratory effort central sleep apnea or a combination of these factors mixed sleep apnea. This site is like a library, use search box in the widget to get ebook that you want.
Practice parameters for the indications for polysomnography aasm. In most cases of pediatric osas, children present with signs or symptoms of obstructive. The american academy of sleep medicine aasm and the centers for medicaid and medicare services cms identify four classes of sleep studies based upon how channels are recorded and whether a sleep technologist is present throughout the recording to provide oversight attended or unattended. Level 1 polysomnography remains the cornerstone for the diagnosis in patients of comorbid sleep disorders, unstable medical conditions or complex sleepdisordered breathing. Xxxxxx, xxxxx page 2 of 6 this routine overnight polysomnogram demonstrated the presence of significant obstructive sleep apnea with an overall apnea hypopnea index of 69. Polysomnography in patients with obstructive sleep apnea. This introductory course covers the physiology of the cardiovascular and pulmonary systems with emphasis on electrophysiology of the heart, electrocardiology interpretation, blood flow characteristics and hemodynamics.
Costeffectiveness of splitnight polysomnography and home studies in the. When interpreting pulmonary function tests, one should first try to determine the pattern of abnormality. Adjudication policy eligibility coverage criteria diagnostic sleep testing and polysomnography are covered by daman for the diagnosis of the. Sleep latency was 10 minutes, and rem latency was 85 minutes. Pdf sleep disorders, particularly breathingrelated sleep disorders, are significant health. Polysomnography studies are an essential tool for the sleep physician and aid in the diagnosis and. An expert consensus panel from the american academy of pediatrics has recommended overnight polysomnography as the diagnostic test of choice in evaluating children with suspected sbd. If you recently had or ordered a sleep study to test for sleep apnea, the question foremost in your mind is probably what your results have to say about your sleep health or the health of your patient however, unless you know what to look for, your sleep study report may seem more perplexing than informational.
Assessment of the validity and reproducibility of a portable monitoring device. Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders. Understanding your sleep study results advanced sleep. Polysomnography ontario health technology assessment series 2006. All studies reported the normative data on obstructive apnea index oai and mixed apnea index mai. Level 1 study or inhospital, inlaboratory, technicianattended, overnight polysomnography psg is the gold standard for evaluation of sleep disordered breathing evidence quality a, strong recommendation. What every clinician should know about polysomnography. Data is recorded from the electroencephalogram eeg. Interpretation of sleep studies for patients with sleepdisordered. The monitoring of sleep and the interpretation of sleep study findings are complex and require a. Outstanding case studies in polysomnography interpretation cambridge medicine hardcover, by robert c. Computer based digital systems facilitate data storage, scoring and interpretation of sleep studies. Case studies in polysomnography interpretation edited by.
Polysomnography technology cgtc library resources january 2015. Rapid advancements in technology have transformed the field from a time when analog studies were collected on paper to computerassisted collection of digitally transformed studies. Written for sleep technologists, clinical atlas of polysomnography provides basic information regarding normal sleep, sleep disorders, and electrophysiology that is outside of the scope of the aasm manual aasm manual for the scoring of sleep and associated events. Pulmonary function tests cannot by themselves distinguish among the potential causes of abnormalities, and must be interpreted in light of the patients history, physical examination, and. Polysomnography psg is the monitoring of physiological parameters and physiological or pathological events in sleep. The authors take you into their own sleep laboratories and deliver reallife cases for you to interpret with them. Obstructive sleep apnea case study facilitator guide shirin. We would like to remind you that this material is the property of the author. All reports in the ontario health technology assessment series are freely available in pdf. Case studies in polysomnography interpretation cambridge medicine hardcover 1st edition. Polysomnography and other sleep studies l36902 cgs has received many inquiries regarding the credentialing of sleep labs under this lcd. Electroencephalographic eeg activity in wakefulness and in sleep in humans was initially described in 1928. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. A doctor will observe you as you sleep, record data about your sleep patterns, and may identify any sleep disorders.
After your doctor rules out the presence of any underlying medical conditions that may be affecting your sleep patterns, a polysomnography can help with further diagnosis. This evidencebased analysis was prepared by the medical advisory. The estimation of beta error is generally the result of a power analysis. Office of inspector general oig analysis of polysomnography claims from national claims history data. Understanding your sleep study results sleep studies after your sleep study for doctors offices if you recently had or ordered a sleep study to test for sleep apnea, the question foremost in your mind is probably what your results have to say about your sleep health or the health of your patient. However, in such cases, the modified criteria should be clearly stated. The confusion lies in differentiating between accreditation and credentialing, as.
The nook book ebook of the case studies in polysomnography interpretation by robert c. Individuals who suffer from interrupted sleep, inability to fall asleep or other sleep disorders may benefit from polysomnography. Mar 17, 2020 polysomnography psg is a study or test done while youre fully asleep. Recording technique and sleep scoring recording technique the polygraph is an instrument which records data which is amplified and converted to a digital signal. Basner md pulmonary, critical care, and allergy division, columbia university college of physicians and surgeons. Sample sleep medical center polysomnogram report part i. Polysomnography psg, a type of sleep study, is a multiparametric test used in the study of sleep and as a diagnostic tool in sleep medicine. Polysomnography poly polysomnography program, hlth 1215 can be taken concurrently. The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including eeg, ecg, emg, respiratory flow and effort, ventilation via co2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities.
However, the study by kato et al 8 did not provide the complete data for central apnea. Inlaboratory, attended polysomnography psg is a diagnostic test for sleeprelated breathing disorders, and it is also used in conjunction with the clinical history and other tests to diagnose a variety of additional sleep disorders, including narcolepsy, sleeprelated movement disorders, and certain parasomnias. Nov 25, 2014 polysomnography psg, popularly known as a sleep study, has been used for decades to diagnose and evaluate the severity of sleepdisordered breathing. Outline indications for psg hookup, preparation for psg types of sleep studies. Empirical translation studies is a rapidly evolving research area. Adjudication policy eligibility coverage criteria diagnostic sleep testing and polysomnography are. Case studies in polysomnography interpretation edited by robert c. Obstructive sleep apnea case study facilitator guide.
If you like sleep study polysomnography, you might love these ideas cooley sleep study and storage twin loft perfect for sleep, play, or study, the cooley sleep, study and storage twin loft is designed to meet all your childs needs. The test result is called a polysomnogram, also abbreviated psg. Measurement of sleeprelated breathing disturbances in epidemiologic studies. This is a pdf file of an unedited manuscript that has been. Case studies in polysomnography interpretation title page. Polysomnography refers to the recording, analysis, and interpretation.
Please refer to the interpretation of sleep report primer. Learn polysomnography with free interactive flashcards. Polysomnography poly polysomnographysleep studies payment policy policy number m. Koo and kingman strohl case 62 a 22yearold woman with a 2 year history of motor activity during sleep that is increasing in frequency 75 raman malhotra and shalini paruthi. This has generated increasing interest in recent years in sleep studies.
Videoeeg polysomnography is a technique combining polysomnography and videorecording, which has been described to be even more effective than only polysomnography for the evaluation of some sleep troubles such as parasomnias, because it allows to more easily correlate eeg signals, polysomnography and behaviors. There is a significant increase in the demand for sleeprelated evaluations and sleep studies, due to. Sleep studies pdf study studio studying research exploring. Pediatric polysomnography is the diagnostic study of choice to evaluate for obstructive sleep apnea in children, and to evaluate cardiorespiratory function in infants and children with chronic lung disease or neuromuscular disease when indicated. In laboratory, attended polysomnography psg is a diagnostic test for sleeprelated breathing disorders, and it is also used in conjunction with the clinical history and other tests to diagnose a variety of additional sleep disorders, including narcolepsy, sleeprelated movement disorders, and certain parasomnias. In 1967, the association for the psychophysiological study of sleep apss chartered a committee. Case 60 interpretation of traces from polysomnography 73 brian b.
Throughout this report, references to medicare payment represent the total amount allowed by medicare, which consists of payments made by medicare plus beneficiary costsharing payments. Free ebook case studies in polysomnography interpretation. Case studies in polysomnography interpretation cambridge. Polysomnography psg is a study or test done while youre fully asleep. The limb movements in this case occur bilaterally and are independent of respira. Polysomnography records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study. Instrumentation, monitoring, and related procedures b. Understanding technical and clinical information provided in the sleep study report is crucial. Interpreting sleep studies american thoracic society. Click download or read online button to get essentials of polysomnography book now. See more ideas about sleep studies, sleep and study.
The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including eeg, ecg, emg, respiratory flow and effort, ventilation via co2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment. There is a significant increase in the demand for sleeprelated evaluations and sleep studies, due to the heightened public awareness of sleep disorders. P74 2002 principles and practice of sleep medicine, 5th ed. Homeportable sleep study is performed under the supervision i. Lcd information lcd id number the diagnosis of sleep apnea may be made using the following modalities. Polysomnography is usually done at a sleep disorders unit within a hospital or at a sleep center. Polysomnography psg, popularly known as a sleep study, has been used for decades to diagnose and evaluate the severity of sleepdisordered breathing. Interpreting sleep studies american academy of sleep. Polysomnography reports american association of sleep. In cases where a deviation from this standard is used, an explanation has been given.
Polysomnography sleep studies university health alliance uha will reimburse for polysomnography sleep studies when it is determined. Free ebook case studies in polysomnography interpretation cambridge medicine hardcover, by robert c. Indications for sleep studies in adults many sleep disorders can be diagnosed clinically but many require full evaluation in a sleep laboratory psg and pg recommended in sleeprelated breathing disorders psg recommended for evaluating parasomnias psg and daytime testing important in evaluating hypersomnia. A major purpose of the sleep heart health study, in fact, to determine the effect of sleep apnea on heart function and overall health and. Koo and kingman strohl case 61 an adult being assessed for obstructive sleep apnea 74 brian b. Choose from 290 different sets of polysomnography flashcards on quizlet. Basner publication is consistently being the best good friend for spending little time in your workplace, night time, bus, as well as almost everywhere. Case studies in polysomnography interpretation by robert c. It is helpful to investigate atypical cases of parasomnias. The timing of the study in the patients clinical course is variable and is determined by their physicians interpretation of signs and symptoms 9.
784 702 1368 1539 1554 1484 903 379 1331 1142 1086 232 1112 1390 186 1069 777 1519 819 624 1214 1059 982 1255 1346 225 866 794 734 1090 409 1170 1325 911 543 1242 37 879 536