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Sleep study, also known as polysomnography (PSG), involves studying a child’s sleep pattern and evaluating to see if any problem persists when the child is asleep. A sleep study usually monitors eye movements, muscle activity, heart rate, respiratory effort, airflow, and blood oxygen levels. Sleep problems can have various negative effects and may impair a child’s cognitive, developmental, and emotional well-being.
Manipal Hospitals in Bhubaneswar, Odisha, address sleep problems, especially for critically ill children admitted to the paediatric intensive care unit (PICU), that could impede their recovery due to insufficient rest. The hospital has a dedicated lab to study the sleep patterns of children. By studying a child’s sleep and respiratory activity, specialists can effectively address the issue, ensuring children receive the necessary rest during their recovery.
Children with sleep problems are prone to various risks that can impact their physical and mental abilities. Several reasons why your child may require a sleep study include insomnia, challenges with waking up in the morning, daytime sleepiness, snoring, and hyperactivity. Other reasons include:
Monitoring a child’s ventilation machines, such as continuous positive airway pressure (CPAP)
Assessing respiratory needs for oxygen and ventilator support
Infants exposed to life-threatening events that affect their breathing
Evaluating sleep issues for paediatric patients who have undergone surgery
Managing various sleep disturbances such as sleepwalking, night terrors, nightmares, and bedwetting.
Yes, a single parent or a guardian can accompany their child during the sleep study. You will be provided a space to stay and be with your child.
Sleep studies are usually conducted overnight, although daytime sleep studies can be scheduled. A sleep technician evaluates your child’s sleep study, monitoring their overnight sleep. During your child’s sleep study evaluation, sensors are placed in various areas of the child’s body. Moreover, a small clip is placed in your child’s finger or ear to monitor oxygen levels in their blood. Throughout the night, technicians assess your child’s condition, and you can communicate with your child through monitoring equipment if needed. If your child needs to use the bathroom at night, the technician can remove the sensors and other devices if necessary. During your child’s sleep study, the medical healthcare provider evaluates the following:
Movement of the eyes using an electrooculogram (EOG).
Heart rate is assessed with the help of an electrocardiogram (ECG).
Monitoring breathing patterns with respiratory belts or bands.
Checking the activity of the brain using an electroencephalogram (EEG).
Analysing levels of oxygen in the blood using pulse oximetry.
Other evaluations, such as levels of carbon dioxide, snoring, additional noises, movement of the body, sleeping positions, and the child's sleep stages.
After your child's sleep study is finished, the sensors are taken off, and your child is discharged. Prior to discharge, your child’s doctor will schedule a follow-up appointment to review the results. A sleep study technician will interpret your child’s results obtained during their study, and your child’s doctor will examine the report. In the event that a sleep study is done at home and the results are inconclusive, your sleep specialist will recommend repeating the test in a hospital sleep lab.
Typically, sleep studies for children occur overnight and last until the morning. Your child’s medical healthcare provider will let you know if there are any changes in the schedule or if your child’s sleep study needs to be conducted during the daytime.
No. The procedure for sleep studies does not hurt your child. The procedure is non-invasive and fosters an environment for quiet and peaceful sleep for your child.
Yes, you can conduct a sleep study for your child at home by using home sleep apnoea test (HSAT) equipment, which you can obtain from your child’s medical healthcare provider. The equipment may include some or all of the instruments, such as a nasal breathing sensor, an effort belt, a pulse oximeter, a microphone, and a data collection device. Your child’s specialist will guide you on how to operate the equipment and collect the data needed for evaluation.
Sleep tests are typically categorised according to the quantity and quality of the data they collect. Hospital or sleep lab-based studies are labelled as Type 1 and Type 2 tests, known for their accuracy, while Type 3 and Type 4 tests, including home sleep apnoea tests, gather less detailed data. Home sleep apnoea tests fall under Type 3 and are reliable for detecting moderate to severe sleep apnoea but may be less precise for mild cases. Advancements are being made in home sleep apnoea tests, such as the Alice PDx by Philips, a home sleep apnoea test. When compared, it showed compliance with results obtained from PSG with a sample size of 85 patients.
No known major risks arise during your child’s sleep study. Neither injections nor medicines are given as part of your child’s evaluation. Since the study requires many electrodes or sensors attached to the skin, your child might experience skin irritations.
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