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    Polysomnography v2

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    Austin White
    Polysomnography (PSG) is considered the gold standard sleep study. It involves monitoring various physiological parameters during sleep using electrodes to measure brain activity, eye movements, oxygen levels, heart rate, breathing, and body movements. PSG can be used to diagnose sleep disorders like sleep apnea by analyzing sleep stages, breathing irregularities, and how long it takes to fall asleep. The minimum setup requires about 12 electrodes. PSG is usually performed over multiple nights in a sleep lab but can also be done at home. The results are interpreted according to standardized scoring rules. To gather high quality PSG data, the document recommends obtaining a Cadwell Easy II machine.

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    Polysomnography v2

    Uploaded by

    Austin White
    32 views7 pages
    Polysomnography (PSG) is considered the gold standard sleep study. It involves monitoring various physiological parameters during sleep using electrodes to measure brain activity, eye movements, oxygen levels, heart rate, breathing, and body movements. PSG can be used to diagnose sleep disorders like sleep apnea by analyzing sleep stages, breathing irregularities, and how long it takes to fall asleep. The minimum setup requires about 12 electrodes. PSG is usually performed over multiple nights in a sleep lab but can also be done at home. The results are interpreted according to standardized scoring rules. To gather high quality PSG data, the document recommends obtaining a Cadwell Easy II machine.

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    Polysomnography (PSG) is considered the gold standard sleep study. It involves monitoring various physiological parameters during sleep using electrodes to measure brain activity, eye movements, oxygen levels, heart rate, breathing, and body movements. PSG can be used to diagnose sleep disorders like sleep apnea by analyzing sleep stages, breathing irregularities, and how long it takes to fall asleep. The minimum setup requires about 12 electrodes. PSG is usually performed over multiple nights in a sleep lab but can also be done at home. The results are interpreted according to standardized scoring rules. To gather high quality PSG data, the document recommends obtaining a Cadwell Easy II machine.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    32 views7 pages

    Polysomnography v2

    Uploaded by

    Austin White
    Polysomnography (PSG) is considered the gold standard sleep study. It involves monitoring various physiological parameters during sleep using electrodes to measure brain activity, eye movements, oxygen levels, heart rate, breathing, and body movements. PSG can be used to diagnose sleep disorders like sleep apnea by analyzing sleep stages, breathing irregularities, and how long it takes to fall asleep. The minimum setup requires about 12 electrodes. PSG is usually performed over multiple nights in a sleep lab but can also be done at home. The results are interpreted according to standardized scoring rules. To gather high quality PSG data, the document recommends obtaining a Cadwell Easy II machine.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 7

    Polysomnography

    The gold standard sleep study

    What is polysomnography
    (PSG)?
    PSG is a sleep study based off

    of physiological parameters
    Can be used to measure sleep

    and diagnose certain sleeping


    disorders
    Different types can be done at

    home or in a sleep lab


    Usually at least three nights in

    sleep lab as first one night or two


    are not used so the patient can
    adjust
    There are two sets of rules

    developed for interpreting the


    results

    In 1968 Rechtschaffen and Kales set


    the standard
    The American Association of Sleep
    Medicine revised them in 2007

    What does a PSG measure?


    A full PSG measures 9 different

    signals
    EEG (electroencephalogram)

    Brain activity
    EOG (electrooculogram) Eye

    movements
    SpO2 Oxygen Saturation,

    basically the amount of oxygen


    you have
    Respiratory effort
    Respiratory airflows
    Position

    Snoring
    ECG (electrocardiogram)- Heart

    beat
    EMG (electromyogram) body

    movements ( leg and chin


    specifically)

    Do we need all those wires?


    The absolute minimum of

    electrodes for a full PSG set up


    is about 12.
    Three EEG
    Two EOG
    Two EMG
    One airflow

    One for ECG


    One for Oxygen saturation
    Two respiratory effort belts

    Why do we want to know


    this?
    We can get several things from

    this data:
    Sleep onset latency how long it

    takes to fall asleep


    Sleep stages how long was

    spent in each stage of sleep


    Breathing irregularities if you

    have sleep apnea.


    We can compare the data from

    the PSG to the data


    gathered from the bed sensor
    suit

    We can test and optimize the bed


    sensor suit based on what we are
    seeing from the PSG.
    From this we can

    How can we get this data?


    Here are our options:

    We should get this:


    Cadwell Easy II

    Cheap

    Reliable

    Popular

    References
    Berry, Richard et al. (2012). A The AASM Manual for the scoring of
    Sleep and Associated Events: Rules Terminology and Technical
    Specifications, Version 2.0. Darien, IL: American Academy of Sleep
    Medicine

    Rechtschaffen, A. & Kales, A. (Eds.) (1968). A manual of


    standardized terminology, techniques, and scoring system for sleep
    stages of human subjects. Washington D.C.: Public Health Service,
    U.S. Government Printing Service

    D. Moser, P. Anderer, G. Gruber, S. Parapatics, E. Loretz, M. Boeck,


    G. Kloesch, E. Heller, A. Schmidt, H. Danker-Hopfe, B. Saletu, J.
    Zeitlhofer and G. Dorffner, "Sleep Classification According to AASM
    and Rechtschaffen & Kales: Effects on Sleep Scoring Parameters,"
    Sleep, vol. 32, 2009.

    J. R. Shambroom, S. E. Fabregas and J. Johnstone, "Validation of an


    automated wireless system to monitor sleep in healthy adults,"
    2011.

    http://en.wikipedia.org/wiki/Polysomnography
    S. Miano, M. C. Paolino, R. Castaldo and M. P. Villa, "Visual scoring of
    sleep: A comparison between the Rechtschaffen and Kales criteria
    and the American Academy of Sleep Medicine criteria in a pediatric
    population with obstructive sleep apnea syndrome," 2009.

    Hensley MJ, Hillman DR, McEvoy RD, Neill AM, Solin P, Teichtahl H,
    Thompson BR, Tolhurst S, Thornton AT and Worsnop CJ,
    "GUIDELINES FOR SLEEP STUDIES IN ADULTS," 2005.

    G. M. Aasvang, B. verland, R. Ursin and T. Moum, "A field study of


    effects of road traffic and railway noise on polysomnographic sleep
    parameters," pp. 3716, 2011.

    J. Allan Hobson, "A manual of standardized terminology, techniques


    and scoring system for sleep stages of human subjects,"
    Electroencephalogr. Clin. Neurophysiol., vol. 26, pp. 644-644, 1969.

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