Do I Need a Sleep Study?
There are a number of factors that will determine if
you need a sleep study. These include physical symptoms,
daytime sleepiness, cardiovascular condition, sleeping
habits or problems, body mass index, family history
and an overall feeling of wellness. Your physician can
evaluate your need for a sleep study during a history
and physical or regular office visit, usually using
a standardized questionnaire.
Why Do I Need
a Referral?
Your physician can refer you directly for testing, or
you may call to schedule an appointment with one of
our Board Certified Sleep Medicine physicians. In either
case, a physician’s order is required for testing.
Along
with your physician’s order, we will ask your
referring physician to send us a copy of your history
and physical including information about your primary
complaint or sleep problem (i.e., reason for the study).
If you elect to see one of our physicians, you will
be scheduled for a consultation where they will perform
a history and physical, and schedule you for any testing
or evaluations necessary. Not all sleep disorders require
a sleep study for their evaluation and/or treatment.
What
Is a Sleep Study?
A sleep study, or polysomnogram (PSG) as it is medically
defined, is a diagnostic test that is performed as you
sleep during the night. The procedure itself involves
applying electrodes and sensors to specific areas of
the body utilizing standard methodology. You will be
connected to our computer controlled recording device,
and your sleep study will begin as close to your normal
bed time as possible. Certain physiological activities
including brainwaves, muscle activity, eye movements,
heart rate, breathing patterns and oxygen levels in
the blood are monitored by the technologist from a separate
room. This test is completely safe and totally noninvasive
(no needles).
What Happens
Next?
In the morning you will be detached from the sensors
and, if you wish, take a shower and enjoy a light continental
breakfast before leaving. Upon discharge you will receive
the appropriate paperwork and a few additional questionnaires
on how you slept and quality of the facility and staff.
During the next 2 – 3 days, your recording will
be analyzed by a Registered Polysomnographic Technologist
and the results interpreted by a Board Certified Sleep
Specialist. A report which includes recommendations
for treatment, if required, will be sent to your referring
physician. You will then be instructed to schedule an
appointment with your
What
Is The Treatment?
Depending on the results of your sleep study you may
be recommended for treatment. Not all sleep disorders
require medications. Some treatment recommendations
may include medications or changing your sleep “habits.”
The
most common sleep disorder is a condition known as sleep
apnea or sleep disordered breathing (SDB). This is treated
with a device called PAP, short for Positive Airway
Pressure. There are several types of PAP devices, most
commonly used are CPAP (Continuous Positive Airway Pressure)
and Bi-level therapy. Each device is attached by way
of a tube to your nose only, or your nose and mouth.
The style of “mask” that touches your face
will vary, as some may fit better for one individual
than another. CPAP has a steady flow of air which acts
as a "splint" to maintain an open airway.
Bi-level therapy requires more specialized machines
and enables a lower pressure when patients are exhaling
to help them breathe more comfortably. Specific recommendations
will be made by the Board Certified Sleep Specialist
upon review of your study.
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