Tag Archive for: Sleep Apnea

Sleep Study FAQ

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Sleep Study FAQ (Answered by a Registered Polysomnographic Technologist)

By Amanda Jones RPSGT

If you have questions about undergoing a sleep study, you’re not alone. Here are some common questions that I get asked while working at Comprehensive Sleep Care Center as a Sleep Technologist. They may be able to help you understand the process and put you more at ease.

A sleep study, known as a polysomnogram, is an overnight test done in a sleep lab. Prior to the study, a sleep technologist will place sensors on your scalp, face, chest and legs. These sensors will record brainwave activity (to assess sleep stage), eye movements, muscle activity, heart rhythm, body movements, nasal/oral airflow, respiratory effort and oxygenation. In addition, your body position will be observed on video camera. All this information will better assist your sleep physician in determining the cause of any sleep related problems.

Q: Why do I need a sleep study?

A: Sleep studies help doctors diagnose sleep disorders such as sleep apnea, periodic limb movement disorder, narcolepsy, restless legs syndrome, insomnia, and nighttime behaviors like sleepwalking and REM sleep behavior disorder.

Q: Can my spouse or significant other stay with me on the night of my study?

A: Significant others may have helpful insight during the evaluation stage, but they are not usually permitted to stay with you on the night of your study. IF there is a reason they need to stay, please discuss it with your doctor during your consult.

Q: What if I can’t sleep?

A: Don’t stress, we don’t expect you to sleep as well as you would at home, and we take that into account. Nearly everyone can fall asleep during an in-lab study. In most cases, you do not need a full 6 hours of sleep for the doctor to make a diagnosis. There are several things you can do to help you sleep the night of your study. First consider waking a little earlier than usual on the day of your study. Do not take naps during the day. Avoid the consumption of all caffeine—skipping coffee, tea, soda pop, chocolate, energy drinks, and other caffeinated products.

Q: Can I bring my own pillow?

A: Of course! We want you to be as comfortable as possible so you can sleep. Our sleep labs use My Pillows on each bed (one soft and one firm).  However, most people prefer their own pillow. In fact, if you have a special blanket or throw you sleep with, bring that as well! The more comfortable you feel the better you will sleep.

Q: What about all the wires? Will they stay on all night?

A: After you arrive at the sleep center a technician will apply small sensors to your head and body with adhesive. The wires connecting the sensors to a headbox are usually gathered to the side with plenty of slack so you can move around during sleep. Elastic belts will be wrapped around your chest and abdomen to measure breathing. A clip will be placed on your finger or (in some cases your earlobe) to monitor oxygen levels in your bloodstream. Most people get used to it all very quickly. Everything is attached using medical tape and/or paste. The wires are attached to stay on all night. If anything does come loose the tech will enter the room to re-attach them during the night. We attempt to do this without waking the patient if possible. The sensors are attached to your body in a manner like electrocardiogram (EKG) electrodes and are not painful. In rare instances, some people with sensitive skin develop local irritation at the electrode sites. If you have experienced skin irritation due to EKG testing in the past, or have an adhesive allergy please notify the Sleep Center and the technologist prior to the study.

 Q: Can I sleep on my side? What if I move around in my sleep?

A: We want you to sleep in your natural position. Many people roll over and change positions multiple times during the night. While sleep apnea is more prevalent when sleeping on your back, the Technician may ask you to try sleeping on your back for a portion of the test. This allows us to check your breathing in multiple positions. IF you’re unable to, don’t worry! It may be very difficult to sleep on your stomach so the technician may ask you to use a pillow to keep you from rolling all the way onto your stomach.

Q: During my sleep study, what if I have to use the restroom?

A: If you need to get up during your sleep study just notify your sleep technologist (by calling out or sitting up in the bed) and let them know that you need to use the restroom. They will unhook one or two central connections, which will enable you to get up and walk to the bathroom. The headbox even has a strap you can carry over your shoulder or around your neck. (The headbox is the device that all your wires connect into)

Q: May I sleep naked?

A: No. As a courtesy to our sleep techs we request that you sleep in pajamas or a t-shirt and shorts.

Q: How long is the sleep study? What if I wake up early? Can I sleep in?

A: The wake-up time is 5 am, and unfortunately, we cannot allow patients to sleep in. Insurance requires a minimum of 6 hours of recording, and as long as we have reached that, you are free to leave before 5 am (some restrictions may apply depending on if the patient took a sleeping medication). Many people ask why they must get up so early. Our Sleep Technicians need to ensure all patients are up and checked out so they can upload all the data to be read and get home so they too can get some sleep.

Q: How hard is the paste to get out of my hair?

A: The paste is water soluble! You can use a hairbrush, but some paste will remain. The best thing to do is wash your hair with very warm water. We recommend using conditioner first to loosen up the paste and then washing your hair. Rubbing alcohol is also an effective, quick way to remove paste but can be rough on the scalp. Also, Micellar water can be effective and less harsh.

Q: Can they tell me the results of my sleep study in the morning?

A: Unfortunately, no. The sleep technologist is collecting data that will be interpreted by your sleep medicine physician. You will receive your results at your follow-up visit.

Whether you were a little nervous about your upcoming sleep study, or just curious about the process, we hope this cleared up a few questions and put your mind at ease! Remember, your Comprehensive Sleep Care Center sleep technologist is not only there to gather information, but they are there to make the process as comfortable as possible! We look forward to seeing you soon!

 

Having Surgery? Why you need to be screened for Sleep Apnea.

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Having Surgery?

Why you need to be screened for Sleep Apnea.

Sleep Apnea is a potentially serious sleep disorder that occurs when breathing is interrupted during sleep. People with untreated sleep apnea can stop breathing up to hundreds of times each night while sleeping. As many as 18 million Americans have obstructive sleep apnea. But over half of those experiencing obstructive sleep apnea (OSA) are unaware that they have the condition.

It is important for surgical patients to be pre-screened for sleep apnea. Patients with sleep apnea who are undergoing any type of surgery or invasive procedures under general anesthesia are at an increased risk for developing respiratory and cardiovascular complications. Complications can include irregular heart rhythms, oxygen deficiency, high blood pressure, diabetes, stroke, heart attack and even death. This holds true for both surgeries related to obstructive sleep apnea and unrelated surgery such as orthopedic or bariatric procedures.

SCREENING FOR SLEEP APNEA BEFORE SURGERY

Screening patients prior to surgery can be very simple. Patients fill out a short Patient Sleep Apnea Questionnaire, which helps their physician determine who is at high risk for sleep apnea. Based on your responses you may need to do a sleep study to confirm or rule out sleep apnea. This test can be done in a sleep laboratory or, in some cases, it can be done with an at-home kit.

PREPARING FOR SURGERY IF YOU HAVE SLEEP APNEA

If you test positive for sleep apnea you should receive treatment prior to scheduling any non-emergency surgery. The gold standard of treatment for OSA is Positive Airway Pressure (PAP). It is important to be compliant with your treatment (wearing the device for 6-8 hours a night) for two to four weeks before the surgery takes place.

DURING AND AFTER SURGERY

Those patients on PAP should bring their own equipment to the hospital. You will receive PAP once your surgery is completed and you are in the recovery area. You should continue to use the unit if admitted to the hospital. It is extremely important to remain compliant with use of PAP therapy after surgery in order to help decrease complications.

 TALK TO YOUR DOCTOR

Whether or not you are having surgery, sleep apnea can be dangerous if not diagnosed and adequately treated. The most common symptoms of sleep apnea are:

  • Snoring, chocking, or gasping during sleep
  • Daytime sleepiness
  • Morning headaches
  • Trouble concentrating, memory problems
  • Mood swings, depression

If you experience any of these symptoms you should speak to your doctor or call Comprehensive Sleep Care Center at 703-729-3420 to see one of our sleep medicine specialists.

Traveling with Sleep Apnea

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TRAVELING WITH SLEEP APNEA

THE NEW MINI CPAP MAKES LIFE EASIER

As CPAP users we all know how beneficial our treatment is and how much better we feel after a good night’s sleep. The issue we face isn’t when we are home, but when we travel. Traveling with sleep apnea means dragging along your CPAP machine. If you’re like me you ask the question- do I pack my CPAP or not? To travel with a CPAP, we have to pull out the power cord that we have hidden behind the bed, find our CPAP travel bag, make sure that we pack every component we need (mask, tubing, filters). Even worse when we fly we must make sure to list the medical device as an extra carry on. Then sleep without our CPAP (keeping everyone awake with our snoring) while on the plane. Even thought I know better I tend to say “what a hassle, I will be fine without my machine for a few days” and leave it at home. Only to find that while I am on my trip, my daytime sleepiness and other sleep apnea symptoms start to show themselves. So why isn’t there a better solution? Well there is!

The new mini travel CPAP’s offer the same great therapy in a much smaller size. They even offer some great added benefits. Like USB charging ports, overnight battery options, FAA compliance for in-flight use, waterless humidification and continued insurance compliance with your CPAP machine.

MINI TRAVEL CPAP    resmed mini cpap

Comprehensive Sleep Care Center is now offering the opportunity for our patients to call in and schedule a free consultation to learn about our mini travel CPAP’s. We have two new models available from the best CPAP manufactures in the world. Come check out the small, lightweight, and inconspicuous device that allows patients to get the CPAP therapy they need while making traveling with sleep apnea easier.

Call Today 703-679-0598! To learn more about the Mini CPAP & how it can change the way you travel! For more information email Richard at [email protected]

4 Important Facts About Sleep Apnea and Heart Disease in Women

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4 Important Facts About Sleep Apnea and Heart Disease in Women

While Sleep Apnea is often thought of as a men’s health issue, here are some important facts about sleep apnea and heart disease in women that you need to know.

  • Obstructive sleep apnea is thought to be more prevalent than both asthma and adult diabetes, possibly affecting more than 18 million Americans.
  • Public health advocates think it may be as big a public health hazard as smoking.
  • The National Commission on Sleep Disorders Research estimated that sleep apnea is probably responsible for 38,000 cardiovascular deaths yearly.
  • Obstructive sleep apnea increases the risk of heart failure by 140%, the risk of stroke by 60%, and the risk of coronary heart disease by 30%.

What is Sleep Apnea?

Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times. This means the brain — and the rest of the body — may not get enough oxygen.

  1. Women’s Hearts are More Affected by Sleep Apnea Then Men’s.

A study found that women with moderate to severe sleep apnea had more than a 30 percent higher risk of heart problems than women without sleep apnea. The study found no significant link between sleep apnea and heart problems in men. The researchers also found that, compared to women without sleep apnea, women with the disorder had higher blood levels of troponin, a chemical signal of early heart damage.

  1. Menopause Increases the Risk of Sleep Apnea and Heart Disease in Women

Higher levels of estrogen and progesterone protect women prior to the onset of menopause. These hormones maintain the airway’s muscle tone and keep it from collapsing. However, as these levels decline during perimenopause and drop to their lowest levels as part of menopause, the incidence of sleep apnea climbs. This suggest that older women may be at greater risk for sleep apnea-related heart disease than men.

Data from the 2007 Sleep in America Poll of the National Sleep Foundation demonstrated evidence that 35 percent of women entering menopause could expect to face a higher risk for developing the most serious form of sleep-disordered breathing—obstructive sleep apnea (OSA)—by the post-menopause phase, compared to younger women.

  1. Women’s Sleep Apnea Symptoms can be Different from Men’s

Sleep apnea symptoms in women may or may not mimic those in men. Often, the classic symptoms that men with OSA present, do not show up in the same way in women. Women are more likely to have complaints of restless legs, fatigue, insomnia, morning headaches, or mood swings, rather than the loud snoring and choking that men experience.

  1. Women and Untreated Sleep Apnea are not a Healthy Combination.

Untreated OSA leads to a host of other problems that can plague women: gastroesophageal reflux disease (GERD), diabetes, depression, hypertension, and obesity

Sleep Apnea Complications

If you are struggling with any of the issues discussed in this article, contact Comprehensive Sleep Care Center for a consultation and say hello to sleep again.

Think you are caring for your CPAP correctly?

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Think you are caring for your CPAP correctly?

Take this quiz to find out.

One of the most important factors in maintaining CPAP compliance is taking care of your CPAP equipment. Fortunately, caring for your CPAP equipment can be easy. By making it part of your morning routine you will keep your device and accessories working properly. And say hello to sleep again…

1. The water in the humidification chamber needs to be cleaned out daily?

         Yes      No

The answer is a resounding yes. Emptying out the water helps prevents bacteria and calcification build up.

  • Remove chamber from humidifier carefully so water doesn’t enter your CPAP machine.
  • Open chamber and wash with warm, soapy water.
  • Rinse well with water and allow to dry on a clean cloth or paper towel out of direct sunlight.

2. Once a week, the humidification chamber needs to be completely washed?

Yes      No

Again, the answer is YES.

  • Once a week the humidifier chamber should be soaked in a solution of 1-part white vinegar, 3-parts water for approximately 15-20 minutes before rinsing thoroughly.
  • Some humidifier chambers are dishwasher safe, but make sure to check your CPAP machine’s manual before cleaning in a dishwasher.
  • Humidifier chambers should be replaced every 6 months or as needed.

3. CPAP masks need to be washed daily?

Yes      No

The answer is Yes, (do you see a theme here?)

Most CPAP mask cushions are made of silicone. While silicone is a very comfortable material for masks, it doesn’t have a very long lifespan, and without proper care can breakdown even faster than expected. Therefore, cleaning your CPAP mask is crucial in making it efficient as possible. Here are some tips on CPAP mask cleaning and replacement:

  • Wash mask daily with warm water and mild, non-fragrant, soap or use unscented baby wipes. You can also purchase CPAP mask wipes.
  • Rinse with water and allow to air dry on a clean cloth or paper towel out of direct sunlight.
  • Before using mask at night, wash your face thoroughly and don’t use facial moisturizers. Facial oils and moisturizers can breakdown the silicone faster.
  • Once a week, soak mask in solution of 1-part white vinegar, 3-parts water before rinsing.
  • Headgear and chinstraps should be washed as needed by hand using warm soapy water, rinsed well, and air dried. Do not place headgear or chinstraps in washing machine or dryer.
  • When caring for your CPAP masks check both your manufacturer’s recommendations and your insurance allowance. However, for most masks it is recommended that you replace the cushions 1-2 times per month, and the mask every 3-6 months.
  • CPAP tubing should be cleaned weekly in a sink of warm, soapy water, rinsed well, and left to hang-dry out of direct sunlight.

4. Should you clean the non-disposable filter weekly? More if you have pets or smoke?

Yes      No

I think you know what the answer is.

Your filters are located near the back of the CPAP machine where the device draws air. Nearly all CPAP machines have a disposable filter and some have an additional non-disposable filter as well. Here are some cleaning tips for your CPAP filters:

  • Rinse non-disposable filters with water and allow to dry before placing back into your machine.
  • The re-usable filters should be replaced when it begins to look worn or after 6 months.
  • Replace disposable filters every 2 weeks or more frequently if it appears dingy or dirty.
  • Once a week, unplug device from outlet and wipe with a damp cloth.

Cleaning CPAP

IMPORTANT TIPS

  • Make caring for your CPAP equipment part of your morning routine.
  • Keep machine and accessories out of direct sunlight to avoid damaging them.
  • Never use bleach to clean accessories.
  • Place machine on a level surface and away from curtains that may interfere with the air intake.
  • Keep track of when you should order replacement parts for your mask and accessories so that you always get the most out of your CPAP.

If you have a CPAP, but are struggling with compliance, check out our no mask oral appliance, ApneaGuard, for mild to moderate sleep apnea.  Call and schedule a consultation with one of our sleep medicine physicians, or ask your doctor about a sleep referral to the Comprehensive Sleep Care Center.

If you are struggling with your CPAP or have sleep issues, contact Comprehensive Sleep Care Center for a consultation and Say Hello to Sleep Again…

5 Sleep Apnea Side Effects Your Wife Wants You to Know

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5 SLEEP APNEA SIDE EFFECTS YOUR WIFE WANTS YOU TO KNOW

 

When you wake up in the morning, you probably don’t give much thought to what went on while you were sleeping. But your partner may be giving it a lot of thought. Sleep apnea issues don’t just affect you. They can affect everyone around you. Here are 5 sleep apnea side effects  your wife wants you to know.

1. YOU’RE TIRED ALL THE TIME

Exhaustion is one of the biggest symptoms of sleep apnea. When you stop breathing, your brain sends out a distress call. This causes you to start to wake up, even if you don’t realize it. But waking up, even if it’s just for a few seconds, can disrupt your sleep cycle, leaving you exhausted the next morning. And no one likes a partner who is exhausted all the time.

2. SLEEP APNEA AFFECTS SEXUAL HEALTH 

Past studies in men have shown a spike in erectile dysfunction (ED) among men who suffer from sleep apnea. Sleep experts believe that the link may be due to the body’s levels of the sex hormone testosterone, which naturally rise while we sleep.  Because sleep apnea causes repeated nighttime waking, this chronic sleep deprivation may inhibit the body’s ability to produce and process testosterone, which is partially responsible for libido. Treatment for sleep disorders can usually get you back into the game.

3. YOUR SNORING IS EARTH-SHATTERING

Arguing because of snoring is something that affects more than half of the couples around the world. Loud snoring is the second major sleep apnea side effect. Not everyone who has sleep apnea snores (and not everyone who snores has sleep apnea).   Along with severe snoring, your bed partner may notice a “gasping, snorting, or struggling” as you return to breathing. This can be dramatic and alarming for the person you sleep next to.

4. YOU FALL ASLEEP ANYTIME, ANYWHERE

If you consistently pass out on the couch watching TV or can’t help but doze off in a dark movie theater, this could point to some extreme apnea-related exhaustion. It can cause some deadly consequences, too. This instant ability to fall asleep is one of the major risks with driving. In 2014, there were 846 fatalities recorded that were drowsy-driving-related. These reported fatalities (and drowsy-driving crashes overall) have remained largely consistent across the past decade.

5. YOU’RE MOODY AND YOUR MEMORY IS SHOT

Mood changes and difficulty with memory and concentration stem from the sleep deprivation that comes along with sleep apnea side effects. Poor sleep can leave you feeling crabby, making you no fun to be around.

If you are struggling with any of the issues discussed in this article, contact Comprehensive Sleep Care Center for a consultation and say hello to sleep again.