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Polysomnogram

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1. Factors Associated with Changes in Invasive and Noninvasive Positive Airway Pressure Therapy Settings during Pediatric Polysomnograms Full Text available with Trip Pro

Factors Associated with Changes in Invasive and Noninvasive Positive Airway Pressure Therapy Settings during Pediatric Polysomnograms Our aim was to identify clinical predictors associated with changes in settings for pediatric invasive and noninvasive positive airway pressure therapy, which could help inform the allocation of limited polysomnogram (PSG) resources.A retrospective review was conducted in children who underwent one or more PSGs for technology titration. Children were included

2017 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

2. Sleep Apnea and Hypoventilation in Patients with Down Syndrome: Analysis of 144 Polysomnogram Studies Full Text available with Trip Pro

Sleep Apnea and Hypoventilation in Patients with Down Syndrome: Analysis of 144 Polysomnogram Studies Patients with Down syndrome (DS) are at risk for both obstructive sleep apnea (OSA) and central sleep apnea (CSA); however, it is unclear how these components evolve as patients age and whether patients are also at risk for hypoventilation. A retrospective review of 144 diagnostic polysomnograms (PSG) in a tertiary care facility over 10 years was conducted. Descriptive data and exploratory

2017 Children

3. Polysomnogram

Polysomnogram Polysomnogram Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Polysomnogram Polysomnogram Aka: Polysomnogram (...) Index (RDI) Apnea and Hypopnea Index (AHI) and Respiratory Effort Related Arousal (RERA) IV. Technique: Monitors (EEG) Electro-oculogram (Eye movement) (muscle activity) (EKG) Nasal pressure transducer Oronasal thermistor V. Types Overnight Polysomnogram in sleep lab (monitored by attendant, preferred study) Full night study with subsequent study with ( or BiPap) OR Split-night study (typically diagnostic in first 2 hours with >20 events/h) and trial same night Home study with portable monitors

2018 FP Notebook

4. Objective Sleep Assessments in Patients with Postural Tachycardia Syndrome using Overnight Polysomnograms Full Text available with Trip Pro

Objective Sleep Assessments in Patients with Postural Tachycardia Syndrome using Overnight Polysomnograms Patients with postural tachycardia syndrome (POTS) commonly complain of fatigue, unrefreshing sleep, daytime sleepiness, and diminished quality of life. The study objective was to assess objective sleep quality in POTS patients using overnight polysomnography.We studied 16 patients with POTS and 15 healthy control subjects performing daytime autonomic functions tests and overnight (...) to stand (rs = -0.527; p = 0.036).POTS patients do not have significant differences in objective sleep parameters as compared to control subjects based on overnight polysomnograms. Activation of the sympathetic nervous system may contribute significantly to the hyper arousal state and worsening of subjective estimates of sleep quality as previously reported in POTS patients.© 2016 American Academy of Sleep Medicine.

2016 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

5. Staging Sleep in Polysomnograms: Analysis of Inter-Scorer Variability Full Text available with Trip Pro

Staging Sleep in Polysomnograms: Analysis of Inter-Scorer Variability To determine the reasons for inter-scorer variability in sleep staging of polysomnograms (PSGs).Fifty-six PSGs were scored (5-stage sleep scoring) by 2 experienced technologists, (first manual, M1). Months later, the technologists edited their own scoring (second manual, M2) based upon feedback from the investigators that highlighted differences between their scoring. The PSGs were then scored with an automatic system (Auto

2016 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

6. An Unexpected Polysomnogram Finding Full Text available with Trip Pro

An Unexpected Polysomnogram Finding 27707444 2018 10 23 2018 11 13 1550-9397 12 11 2016 11 15 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine J Clin Sleep Med An Unexpected Polysomnogram Finding. 1567-1569 Palen Brian N BN Division of Pulmonary & Critical Care Medicine, VA Puget Sound Health Care System, Seattle, WA. Division of Pulmonary & Critical Care Medicine, University of Washington, Seattle, WA. Donovan Lucas M LM Division

2016 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

7. A comparison of the infant car seat challenge and the polysomnogram at the time of hospital discharge. (Abstract)

A comparison of the infant car seat challenge and the polysomnogram at the time of hospital discharge. The American Academy of Pediatrics recommends all infants born at <37 weeks gestation spend a period of observation in a car seat prior to hospital discharge to assess for apnoea, bradycardia or oxygen desaturation. The most recent Cochrane review suggested further studies to determine if the infant car seat challenge (ICSC) accurately predicts the risk of clinically adverse events. We (...) reviewed our experience with the ICSC and the polysomnogram (PSG) to determine if the ICSC accurately predicts the risk of adverse events when compared with the PSG.Retrospective chart review of all infants in our institution who had an ICSC and a PSG between January 2005 and December 2008.785 infants had ICSCs. In addition, 313 infants (56.6%) had an abnormal PSG, even though the vast majority, 158 (88.3%), passed their ICSC. There were no significant differences in gestational age at birth, birth

2013 Archives of Disease in Childhood. Fetal and Neonatal Edition

8. Polysomnogram

Polysomnogram Polysomnogram Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Polysomnogram Polysomnogram Aka: Polysomnogram (...) Index (RDI) Apnea and Hypopnea Index (AHI) and Respiratory Effort Related Arousal (RERA) IV. Technique: Monitors (EEG) Electro-oculogram (Eye movement) (muscle activity) (EKG) Nasal pressure transducer Oronasal thermistor V. Types Overnight Polysomnogram in sleep lab (monitored by attendant, preferred study) Full night study with subsequent study with ( or BiPap) OR Split-night study (typically diagnostic in first 2 hours with >20 events/h) and trial same night Home study with portable monitors

2015 FP Notebook

9. The Impact of Sleep Consultation Prior to a Diagnostic Polysomnogram on CPAP adherence. (Abstract)

The Impact of Sleep Consultation Prior to a Diagnostic Polysomnogram on CPAP adherence. Polysomnograms (PSGs) are routinely ordered by nonsleep specialists. However, it is unknown whether a sleep specialist consultation prior to a diagnostic PSG influences adherence to continuous positive airway pressure (CPAP) therapy.This study was done at the University of Chicago Sleep Disorders Center and included 403 patients with obstructive sleep apnea who had CPAP adherence data available. CPAP was set

2011 Chest

10. Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. (Abstract)

Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. Systematically review the biomedical literature for data comparing clinical, subjective tonsil size (0-4+ scale) to objectively measured obstructive sleep apnea syndrome (OSAS) using polysomnography (PSG).PubMed database.A comprehensive PubMed MeSH search was conducted to identify articles comparing subjective tonsil size to objectively measured OSAS. Inclusion criteria included pediatric

2011 Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

11. Parasomnias in children

parasomnias in affected children. Parasomnias are diagnosed on clinical grounds, based on descriptions from an observer, such as a parent or sibling who may share the bedroom. Ordinarily, a sleep study (diagnostic polysomnogram) is not necessary to establish the diagnosis. However, this test may be ordered when other comorbid primary sleep disorders, such as sleep apnoea, are suspected, and it is required for the diagnosis of RBD. Management usually consists of treatment of the underlying cause

2018 BMJ Best Practice

12. Hypoventilation syndromes

associated with certain medical disorders. Investigations include arterial blood gas analysis, pulmonary function tests, measurement of respiratory muscle strength, and an overnight polysomnogram. Treatment involves nocturnal ventilation, including the use of invasive ventilation. Definition Alveolar hypoventilation, defined as an elevation in PaCO2 to levels >45 mmHg, can occur with several disorders: obesity-hypoventilation syndrome, restrictive thoracic disorders, central sleep apnoea syndromes (...) sound (S4 gallop) body mass index (BMI) >30 kg/m^2 restrictive thoracic disorders CNS disorders obstructive airway disease Diagnostic investigations arterial blood gas serum bicarbonate pulse oximetry Hct pulmonary function tests respiratory muscle strength CXR polysomnogram echocardiogram TSH PHOX2B gene Treatment algorithm ACUTE Contributors Authors Professor of Medicine Division of Pulmonary and Critical Care Medicine Temple University School of Medicine Philadelphia PA Disclosures SK

2018 BMJ Best Practice

13. Cluster headache

from the episodic form. History and exam presence of risk factors repeated attacks of unilateral pain excruciating pain lacrimation, rhinorrhoea, and partial Horner's syndrome agitation nausea, vomiting photophobia, phonophobia migrainous aura male sex family history head injury cigarette smoking heavy drinking Diagnostic investigations brain CT scan or MRI erythrocyte sedimentation rate pituitary function tests polysomnogram ECG Treatment algorithm ACUTE ONGOING Contributors Authors Clinical

2018 BMJ Best Practice

14. Dyssomnias in children

disorder/syndrome) distractions in bedroom (delayed sleep phase disorder/syndrome) Diagnostic investigations sleep diary polysomnogram (PSG) multiple sleep latency test (MSLT) lateral neck films nasal endoscopy overnight oximetry actigraphy audiovisual recording HLA typing pneumogram CSF hypocretin levels Treatment algorithm ONGOING Contributors Authors Associate Medical Director Center for Pediatric Sleep Disorders Boston Children's Hospital Assistant Professor of Pediatrics Harvard Medical School

2018 BMJ Best Practice

15. Central sleep apnoea

, stroke, brainstem lesions, acromegaly, hypothyroidism, or opioid use. Presence portends a poorer prognosis for CHF patients. Management of the underlying disorder may suffice to resolve the condition. Presenting symptoms may be the same as with other sleep-related breathing disorders. The disorder may be asymptomatic, observed by a partner, or detected on testing. A polysomnogram is required for diagnosis. Definition Central sleep apnoea (CSA) syndromes are characterised by repetitive absent

2018 BMJ Best Practice

16. Dyssomnias in children

disorder/syndrome) distractions in bedroom (delayed sleep phase disorder/syndrome) Diagnostic investigations sleep diary polysomnogram (PSG) multiple sleep latency test (MSLT) lateral neck films nasal endoscopy overnight oximetry actigraphy audiovisual recording HLA typing pneumogram CSF hypocretin levels Treatment algorithm ONGOING Contributors Authors Associate Medical Director Center for Pediatric Sleep Disorders Boston Children's Hospital Assistant Professor of Pediatrics Harvard Medical School

2018 BMJ Best Practice

17. Ambulatory Sleep Study for diagnosing obstructive sleep apnoea

The patient should be assessed, and raw HST data should be reviewed and interpreted by a trained sleep specialist able to interpret a polysomnogram, according to the institution-based clinical privileging criteria. Quality assurance procedures should have been established for data acquisition from HST. Subsidy status Subsidy for HST is recommended for the abovementioned indications only. Quicklinks | | | | | Copyrights © 2019 Ministry of Health, Singapore. Last updated on 2 May 2019

2019 Appropriate Care Guides, Agency for Care Effectiveness (Singapore)

18. Detrusor overactivity persisting at night and preceding nocturia in patients with overactive bladder syndrome: a nocturnal cystometrogram and polysomnogram study. (Abstract)

Detrusor overactivity persisting at night and preceding nocturia in patients with overactive bladder syndrome: a nocturnal cystometrogram and polysomnogram study. Nocturia, a common symptom of overactive bladder syndrome, is associated with substantial adverse consequences and yet its pathophysiology has hardly been studied and the capacity to treat it remains limited. We established methods to study the physiology of overactive bladder associated nocturia and better understand (...) this phenomenon.We recorded simultaneous, time aligned, nocturnal cystometrogram and polysomnogram data during a single night at a sleep laboratory in 9 patients with overactive bladder and detrusor overactivity on daytime cystometrogram, in 10 patients with insomnia and in 5 healthy controls.We safely recorded simultaneous polysomnography/nocturnal cystometrography data accurately during the sleep period. Nocturnal detrusor overactivity occurred significantly less often in patients with insomnia and controls

2010 Journal of Urology

20. Pediatric Home Mechanical Ventilation

should establish a screening protocol (sug- gestions: symptoms review, routine polysomnogram [oximetry and capnography if polysomnogram is not available, pulmonary function]), for the identi?cation ofsleepdisordered breathing.(GRADE1C) 2. Each institution caring for children at risk of respira- tory failure should establish protocols for the initiation of HMV, with initiation ofventilation occurring as part ofastructuredplanofcare.(GRADE1C) 3. Whereverpossiblethepatientsandtheirfamiliesshould

2017 Canadian Thoracic Society

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