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Sleep Center

Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders. A sleep study records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.

A sleep study is done at a sleep center within the hospital. You will be asked to come to the sleep center about 8:30 in the evening for the sleep study so that the test can record your nighttime sleep patterns. In addition to helping diagnose sleep disorders, sleep studies may be used to help adjust your treatment plan if you've already been diagnosed with a sleep disorder.

A sleep study monitors your sleep stages and cycles to identify if or when your sleep patterns are disrupted and why. The normal process of falling asleep begins with a sleep stage called non-rapid eye movement (NREM) sleep. During this stage, your brain waves, as recorded by electroencephalography (EEG), slow down considerably. Your eyes don't move back and forth rapidly during NREM, in contrast to later stages of sleep. After an hour or two of NREM sleep, your brain activity picks up again, and rapid eye movement (REM) sleep begins. Most dreaming occurs during REM sleep.

You normally go through four to six sleep cycles a night, cycling between NREM and REM sleep in about 90 minutes. Your REM stage usually lengthens with each cycle as the night progresses. Sleep disorders can disturb this sleep process. A sleep study monitors your sleep stages and cycles to identify if or when your sleep patterns are disrupted.

A sleep study is a noninvasive, painless test. Complications are rare. The most common side effect is skin irritation caused by the adhesive used to attach test sensors to your skin.

Preparing for the test:

You will be asked not to drink alcohol or eat or drink anything with caffeine during the afternoon and evening before a sleep study. Alcohol and caffeine can change your sleep patterns, and they may make symptoms of some sleep disorders worse.
You will be asked to fill out a sleep questionnaire. (Put link to sleep questionnaire here)
You will be given an appointment time when your schedule your sleep study. You will arrive typically in the evening for the sleep study and stay overnight. You may bring items you use for your bedtime routine, and you can sleep in your own nightclothes.
The room where the sleep study is done is similar to your bedroom at home and is dark and quiet during the test. You don't share the room with anyone else. The room has a video camera, so the polysomnography technologists monitoring you can see what's happening in the room when the lights are out, and an audio system, so they can talk to you and hear you from their monitoring area outside the room.
After you get ready for bed, one of the technologists places sensors on your scalp, temples, chest and legs using a mild adhesive, such as glue or tape. The sensors are connected by wires to a computer, but the wires are long enough to let you move normally in bed. A small clip also is placed on your finger or ear to monitor the level of oxygen in your blood.
All of these measurements are recorded on a continuous graph.
Polysomnography technologists monitor you throughout the night. If you need assistance, you can talk to them through the monitoring equipment. They can come into the room to detach the wires if you need to get up during the night.
Although you probably won't fall asleep as easily or sleep as well at the sleep center as you do at home, this usually doesn't affect the test results. A full night's sleep isn't required to obtain accurate polysomnography results.
In the morning around 5am you will be awakened, the sensors are removed, and you may leave the sleep center. You can return to your usual activities after polysomnography.

The information gathered during the sleep study is evaluated first by a polysomnography technologist, who uses the data to chart your sleep stages and cycles. Then, that information is reviewed by your sleep center doctor. Once the results have been reviewed you will either be scheduled for a follow up CPAP study or set up with the sleep center doctor to have your results reviewed with you.

If your study determines that you need CPAP equipment D.W. McMillan Home Medical Equipment can help you through the process. To learn more Click Here to go to D.W. McMillan Home Medical Equipment's Website.

Sleep studies require an order from the physician and can be scheduled by calling: 251-369-0061 or faxing your order to: 855-710-6372.