Anyone who suspects they or a family member might be suffering from OSA should schedule an appointment with a sleep medicine physician to discuss diagnosis and treatment options. Dr. Goldberg works with a network of sleep medicine physicians, and can provide appropriate referrals as needed. Determining the nature and severity of an OSA condition requires an overnight sleep study, also known as a polysomnogram (PSG).
A sleep lab polysomnogram measures 12-14 different types of data. Included in it is the different stages of sleep, the number, times, and length that someone stops breathing. In addition it can tell you your sleep patterns, body position, changes in oxygen levels, and how it effects your breathing.
Sleep studies are usually conducted at a hospital or sleep lab, but home testing options are becoming more popular. A home sleep study involves the use of a portable monitoring system that is made available to the patient, who can then conduct the overnight evaluation in their own bed. Although not as effective as a sleep lab full polysomnogram – it is a useful tool in screening and diagnosis of OSA.
Sleep studies can be conducted over one or two nights. If apnea is detected during an all-night PSG test, a second study will be scheduled to perform what is known as a titration test. This involves wearing a CPAP (continuous positive airway pressure) mask, which is attached to monitoring equipment that allows the technicians to adjust the mask’s air pressure until they find the appropriate level needed to reduce or eliminate apnea events. When apnea is detected during the first half of a single-night study, the second half of the night will be devoted to the titration test. This is called a split night study.
If you are experiencing symptoms of OSA, Dr. Goldberg can make arrangements for referrals to a sleep medicine physician who may decide a sleep study is needed. Due to the known health risks of OSA, studies and therapies are covered by many private insurance providers and may qualify for Medicare benefits.