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Tests available to help in the diagnosis of sleep related issues include:
- A non-invasive, all night monitoring of a patient's sleep
- Variables routinely monitored are:
- Chin EMG (muscle activity)
- EEG (brain waves)
- EOG (eye-movements)
- For sleep staging, ECG, nasal and oral airflow, respiratory effort, and oxygen saturation to address sleep related breathing disorders
- EMG of the limbs to monitor for abnormal body movements such as periodic limb movements or REM behavior disorders
Multiple sleep latency testing
- Evaluates patients with suspected narcolepsy
- Objectively study patients who complain of daytime hypersomnolence
- This assesses sleep tendency by measuring the number of minutes it takes the patient to fall asleep.
PAP titration studies
- A non-invasive, all night monitoring of a patient's sleep with the use of positive airway pressure to maintain airway patency
- Beneficial to accurately assess treatment needs, mask fit, and adequacy of therapy
Home sleep apnea testing
The new home sleep test is an alternative to traditional testing in a sleep lab. In healthy subjects, it can be a comfortable option to complete in the home setting.
Among other variables, the home sleep test records:
- Oxygen levels
- Heart rate
- Breathing effort
- Snoring decibels
Patients with the following conditions are NOT candidates for a home sleep study:
- Heart failure
- Atrial fibrillation
- Moderate to severe pulmonary disease
- Pediatric patients (under age 18)
- Central sleep apnea
- Periodic limb movement disorder
- Circadian rhythm disorders
Management options offered in the clinical setting include:
- Hands on evaluation of the machine and mask interface
- Data evaluation for adequacy of therapy
- In-clinic PAP modification to maximize adherence to therapy and comfort of treatment
Alternative OSA treatment strategies
Your sleep medicine provider will discuss all possible options for treatment of sleep apnea, including surgery, upper airway stimulation or oral device therapy.
Basic cognitive strategies are individually emphasized to restructure the sleep environment and encourage proper sleep hygiene.
In specific circumstances, short-term sleeping medications may be provided if cognitive, self-treatment is both adhered to and not effective.