When Seattle Public Schools announced that it would reorganize school start times across the district for the fall of ,…. Published on May 3, Observations made by technicians throughout an overnight sleep study may offer more valuable information than actual scored data. Although there are established polysomnogram scoring criteria in the adult world of sleep, none exist in the pediatric world. Often, a study may need to be rescored based on what the ordering specialist may determine during their review of the data, thus changing scoring criteria further.
Infant polysomnograms are done infrequently. The majority of the diagnostic studies done on infants are cardiorespiratory sleep studies. These studies do not include the EEG channels; however, if and when an infant polysomnogram is done, the Standardized Terminology, Techniques and Criteria for Scoring States of Sleep and Wakefulness in Newborn Infants 1 rules are strictly applied to score sleep stages.
If cardiorespiratory sleep studies are done, the scoring parameters vary from physician to physician as noted above, taking into account the diagnosis and age of the patient. An important component of scoring the cardiorespiratory sleep study is the Significant Events Listing. This listing includes all occurrences of prolonged apnea, bradycardia, and desaturations of 10 seconds or more—time of event, duration of event, and lowest physiologic value during the event are logged.
Each event is correlated with any activity such as feeding, awakening, or sleeping. Comments regarding the quality of tracing infant activity are made by the scoring technician. Pediatric polysomnography followed by a multiple sleep latency test MSLT is the test of choice to diagnose narcolepsy in childhood or, more typically, in adolescence.
In the absence of rules, for both the cardiorespiratory sleep study and the polysomnogram, the technical observations made by the technicians throughout the recordings may offer more valuable information than actual scored data. This section of the report is called Technician Comments. The following observations may be included in this section: Technicians may note this from observations between parent and child or from conversation initiated by the parents or child themselves.
All of this information combined may contribute to a more accurate diagnosis. General Considerations Each night, we work toward gaining a trusting relationship with our patients and their families. If we succeed, parents may entrust the technicians with the complete care of their child for the night.
Parents may often stay just until the child falls asleep and then feel comfortable to leave. We make every attempt not to have parents sleep with their children during the study. In the majority of cases, this is not a problem. MWT — The Protocol. Actigraphy — Recording Techniques.
Chart Review — Health and Physical. Chart Review — Sleep Questionnaires. Patient Arrival and Assessment.
Patient Interview — Pre-Sleep. Patient Interview — Post-Sleep. Before the Patient Arrives. Patient Hookup — Overview. Patient Hookup — System. Patient Hookup — Respiratory Effort Sensors. Patient Hookup — Respiratory Airflow Sensors. Patient Hookup — Snore Sensor. Patient Hookup — Oximeter Probe. Patient Hookup — Position Sensor. Equipment Check and Calibration. Verify Impedance and Signal Quality. Biocals — EEG Channels. Biocals — EOG Channels. Biocals — ECG Channel. Biocals — Respiratory Channels. Biocals — Snore Channel.
Prepare for your Sleep Study
Patient Monitoring — Overview. Selecting the Recording Montage. Documenting During the Recording. Responding to Patient Needs. Recording Artifact — Overview. Recording Artifact — Hz. Recording Artifact — Muscle. Recording Artifact — ECG. Recording Artifact — Slow Frequency. Recording Artifact — Electrode Popping. Recording Artifact — Movement. Recording Artifact — Respiratory Channels. Recording Artifact — Oximetry Channel. Recording Artifact — Miscellaneous. Patient and Employee Safety — Overview. Personal Safety and Chemicals. Infection Control — General. Infection Control — Cleaning Equipment.
Course Description (80 Hour Into to Sleep) - First Sleep Centers
Patient Emergencies — Cardiac. Patient Emergencies — Seizures. Patient Emergencies — Violent Patients. Therapeutic Interventions — Overview. PAP Acclimation — Summary.
PAP Acclimation — Scope. PAP Acclimation — Equipment. PAP Acclimation — Techniques. PAP Acclimation — Leaks. PAP Acclimation — Intolerance. PAP Acclimation — Education. PAP Acclimation — Compliance. PAP Acclimation — Desensitization. PAP Titration — Summary. PAP Titration — Scope. PAP Titration — Indications. PAP Titration — Exploration. PAP Titration — Documentation. PAP Titration — Reporting.
PAP Adherence — Summary. Supplemental Oxygen — Summary. Supplemental Oxygen — Basic Purpose. Supplemental Oxygen — Storage and Delivery.
Supplemental Oxygen — Precautions. Supplemental Oxygen — Hypoxic Drive. Supplemental Oxygen — Rationale. Supplemental Oxygen — Devices. Supplemental Oxygen — in PSG. Supplemental Oxygen — in PAP. Supplemental Oxygen — Troubleshooting. Supplemental Oxygen — Titration. Different Staging Rules for Children. Different Staging Rules for Infants. What is an Arousal? Scoring Respiratory Events — Apneas.
Scoring Respiratory Events — Hypopnea. Different Respiratory Rules for Children. What is a Significant Limb Movement? Scoring Periodic Limb Movements. Cardiac Events to Recognize. Data Analysis and Reporting — Overview. Data — Technical Summary. Data — Staging Calculations. Data — Arousal Calculations.