![Page 1: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/1.jpg)
Introduction to Sleep lab
Dr. Tripat Deep Singh
MBBS, MD, RPSGT, RST
International Sleep Specialist
(World Sleep Federation Program)
![Page 2: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/2.jpg)
• The term polysomnography was given by Holland, Dement and Raynall in 1974
• It is the technique of recording, analysing and interpreting multiple simultaneous physiologic parameters during sleep
![Page 3: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/3.jpg)
![Page 4: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/4.jpg)
1. Full night diagnostic sleep study
2. Continuous Positive Airway Pressure (CPAP) titration study
3. Split night study (Diagnostic+Titration on the same night)
4. Multiple Sleep Latency test (MSLT)
5. Maintenance of wakefulness test (MWT)
6. REM behavior disorder study
7. Nocturnal seizure study
8. Ambulatory sleep studies
![Page 5: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/5.jpg)
![Page 6: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/6.jpg)
Confidential
Sleep Diagnostic Product Line
Berlin Questionnaire
Technology
Outcomes
Stardust 2 Alice 5
referral
screening
Portable Diag
Lab Diagnostic
Alice PDx
RU Sleeping
![Page 7: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/7.jpg)
The Alice 6 family
7
![Page 8: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/8.jpg)
Alice 6 Family
LDE Base LDx Base
LDE
head box
LDxS
head box
LDxN
head box
Alice 6 LDE
• Essentials for customers focused on OSA diagnosis
Alice 6 LDxS
• Full-feature model for most sleep customers
Alice 6 LDxN
• Advanced model with “Power” for research interests
8
![Page 9: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/9.jpg)
![Page 10: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/10.jpg)
![Page 11: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/11.jpg)
![Page 12: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/12.jpg)
![Page 13: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/13.jpg)
![Page 14: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/14.jpg)
![Page 15: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/15.jpg)
![Page 16: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/16.jpg)
![Page 17: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/17.jpg)
![Page 18: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/18.jpg)
![Page 19: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/19.jpg)
![Page 20: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/20.jpg)
![Page 21: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/21.jpg)
![Page 22: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/22.jpg)
![Page 23: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/23.jpg)
![Page 24: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/24.jpg)
![Page 25: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/25.jpg)
![Page 26: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/26.jpg)
![Page 27: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/27.jpg)
![Page 28: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/28.jpg)
![Page 29: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/29.jpg)
![Page 30: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/30.jpg)
![Page 31: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/31.jpg)
![Page 32: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/32.jpg)
![Page 33: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/33.jpg)
![Page 34: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/34.jpg)
![Page 35: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/35.jpg)
![Page 36: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/36.jpg)
![Page 37: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/37.jpg)
Essential components of a PSG Recording
1. Good quality amplifiers 2. Appropriate filter design 3. Independent filter selection for each channel 4. 50-60 Hz off/on selection for each channel 5. Adequate sampling rates and bit resolution for each parameter 6. Input signal re- referenicng capability 7. Standard calibration procedures and signal verification 8. Appropriate signal display, sleep stage scoring capability of storing
all changes to recording made by attending technicians 9. Full disclosure of all options nd features that may potentially
affect accuracy or signal resolution
![Page 38: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/38.jpg)
![Page 39: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/39.jpg)
• EEG
• EOG
• EMG (Chin&Leg)
• ECG
• SpO2
• Respiratory effort
• Nasal flow
• Snore
![Page 40: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/40.jpg)
![Page 41: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/41.jpg)
![Page 42: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/42.jpg)
![Page 43: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/43.jpg)
![Page 44: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/44.jpg)
![Page 45: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/45.jpg)
![Page 46: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/46.jpg)
![Page 47: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/47.jpg)
![Page 48: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/48.jpg)
![Page 49: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/49.jpg)
![Page 50: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/50.jpg)
![Page 51: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/51.jpg)
![Page 52: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/52.jpg)
![Page 53: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/53.jpg)
![Page 54: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/54.jpg)
• During Inspiration airway pressure is negative relative to atmospheric pressure and during expiration it is relatively positive
• The resulting alteration in nasal airway pressure can provide a surrogate estimate of airflow
• It is used to define hypopneas
![Page 55: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/55.jpg)
![Page 56: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/56.jpg)
![Page 57: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/57.jpg)
• Exhaled air is warmer than ambient temperature
• Measuring temperature fluctuation in front of nares or mouth provides a simple measure of airflow
• Thermistors are thermally sensitive variable resistors that produce voltage alterations when connected in a low current circuit
– Advantage- Maximize sensing area while minimizing sensor size and mass
– Used for defining apneas
![Page 58: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/58.jpg)
![Page 59: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/59.jpg)
![Page 60: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/60.jpg)
![Page 61: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/61.jpg)
![Page 62: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/62.jpg)
![Page 63: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/63.jpg)
![Page 64: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/64.jpg)
• Several factors limit the application of PtcO2 monitoring during adult sleep studies-
• The variable relationship between PaO2 and PtcO2
• Slow response time that fails to mirror rapid changes in PaO2
• and the need for periodic site changes
![Page 65: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/65.jpg)
![Page 66: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/66.jpg)
![Page 67: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/67.jpg)
![Page 68: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/68.jpg)
![Page 69: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/69.jpg)
Biocalibration
• Close the eyes
• Open the eyes
• Move the eyes left and right
• Move the eyes up and down
• Cough
• Move the feet
• Hold breath
• Respiratory effort
![Page 70: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/70.jpg)
• Time of Sleep study
• Biocalibration
• Technical difficulties and methods of correction
• Patient concerns or complaints
• Anything noteworthy that the patient said during hookup
• CPAP or BI-PAP pressure changes
• Supplemental oxygen flow
• Time and purpose for entering the patient room after the start of the study
• Level of snoring (mild, moderate, severe)
• Leg movements, respiratory events, EEG arousals and other significant events
• Periods of nocturia
• Any other unusual event or observation
![Page 71: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/71.jpg)
• At the end of the study “lights on is marked on the tracing and the patient is awakened and unhooked from the electrodes. The paste off the electrode sites is cleaned after the wires are removed
![Page 72: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/72.jpg)
• Post-test questionnaire- This is given in the morning after the study. Questions that are included in this are-
• How long did it take for you to fall asleep last night?
• How many times do you remember waking up last night?
• How did your sleep during the study compare with your normal night’s sleep?
• How many hours do you feel you slept last night?
• The patient is now discharged after the study
![Page 73: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/73.jpg)
Post study Procedures
• Ensure that the study is saved properly
• Save the audio-visual sequence taking care that it is synchronized along with the polysomnographic tracing
• Ensure that the system is shut down properly
• The electrodes and various sensors are cleaned and sterilized
![Page 74: Introduction to Sleep lab - BAP, 2013iconbap13.weebly.com/uploads/2/2/9/9/22991288/sleep_lab_and_pat… · Introduction to Sleep lab Dr. Tripat Deep Singh MBBS, MD, RPSGT, RST International](https://reader030.vdocuments.us/reader030/viewer/2022040108/5edc3a45ad6a402d6666ce76/html5/thumbnails/74.jpg)
THANK YOU