Essentials of Polysomnography. a Training Guide and Reference for Sleep Technicians

Overview

Essentials of Polysomnography is a 615-page full color text designed specifically for sleep technicians and professionals. This textbook is written by William H Spriggs, a certified sleep technician, and is used in hospitals, sleep labs, physician offices, and colleges and universities around the world.

Essentials of Polysomnography is the first book to include the new recording and scoring rules presented in 2007, as well as the latest sleep disorder definitions and categorization presented in 2005. This text is designed around the board exam for sleep technicians, and includes 500 questions with answers and explanations. It is also ideal for training new sleep technicians and students interested in studying polysomnography, as well as physicians, sleep lab managers, DME reps, and sleep lab front office staff members.

Contents Include:

An overview of normal sleep and the history of sleep disorders
Patient education and the patient flow process
Life as a Sleep Technician
Equipment and hookup procedures
Polysomnogram overview and interpretation
Pediatric sleep medicine
Managerial and daytime operations in the sleep lab
Hundreds of sample epochs depicting sleep stages, artifacts, and events.
A 500 question post-test to help prepare for the RPSGT certification exam
And much more!

Key Features

615-page, full-color text
Written by an experienced author and instructor in polysomnography
Includes the new recording and scoring rules presented in 2007
Includes the latest sleep disorder definitions and categorization presented in 2005.
Designed around the board exam for sleep technicians
Includes 500 questions with answers and explanations
Helpful study tool for the RPSGT Exam

Table of Contents

Chapter 1 Normal Sleep
The Need for Sleep
Human Circadian Rhythm
Human Sleep
Sleep Architecture
Sleep and Aging
Changes to Normal Sleep Architecture
Drug Effects on Sleep
Pregnancy and Sleep
Chapter Summary

Chapter 2 Sleep Disorders
History of Sleep Disorders
Classification of Sleep Disorders
Insomnia
Sleep Related Breathing Disorders
Hypersomnias of Central Origin
Circadian Rhythm Sleep Disorders
Parasomnias
Sleep Related Movement Disorders
Isolated Symptoms
Other Sleep Disorders
Chapter Summary

Chapter 3 Patient Flow Process
Living With a Sleep Disorder
Physician Screening
Referral Process
Patient Scheduling and Billing
Sleep Study Process
Patient Education
Scoring and Interpreting Process
Second Night Studies
DME Setup
Patient Follow-Up
Chapter Summary

Chapter 4 Life As A Sleep Technician
Shift Work
Responsibility as a Healthcare Worker
Infection Control
Patient Safety
Professionalism
Patient Confidentiality
Quality Control
Technician Training and Continuing Education
Board Exam Preparation
Test Taking Tricks and Tips
Chapter Summary

Chapter 5 Diagnostic Equipment
Basic Electronics
Signal Pathways
Monitoring Devices
Differential Amplifiers
Digital Polysomnography
Chapter Summary

Chapter 6 Patient Hookup Procedures
International 10-20 System
Electrode Sites
Electrode Application
Impedance Checks
Technician Tricks and Tips
Chapter Summary

Chapter 7 Viewing a Polysomnogram
EEG Channels
EOG Channels
EMG Channels
EKG Channels
Respiratory Channels
SpO2
Body Position
Chapter Summary

Chapter 8 Artifacts and Troubleshooting
Artifacts
EKG Artifact
Movement Artifact
Sweat, Slow Wave, and Sway Artifact
Snore Artifact
60Hz Interference and High Impedances
Electrode Popping
Pen Blocking
Improper Gain/Sensitivity Settings
Improper Filter Settings
Correcting Artifacts
Chapter Summary

Chapter 9 Performing an Overnight Sleep Study
Order of Operations
Reviewing the Patient Chart
Preparing the Patient Tray
Preparing the Patient Room
Connecting the Diagnostic Equipment
Selecting a Montage
Amplifier Calibrations
Patient Questionnaires
Patient Hookup and Education
Physiologic Calibrations
Technician Notes and Documentation
Ending the Study
Patient Discharge
Chapter Summary

Chapter 10 Performing a CPAP Titration
How CPAP Works
Mask Fitting
CPAP Equipment
Purpose of CPAP Titrations
Increasing CPAP
Decreasing CPAP
Bi-Level PAP
Split-Night Polysomnography
Supplemental O2
Chapter Summary

Chapter 11 Performing Other Types of Sleep Studies
MSLT
MWT
REM Behavior Disorder Study
Nocturnal Seizure Study
Ambulatory Sleep Study
Other Diagnostic Procedures
Chapter Summary

Chapter 12 Sleep Staging
R&K
EEG Waveforms
Stage W
Stage N1
Stage N2
Stage N3
Stage R
Chapter Summary

Chapter 13 Abnormal Events
EEG Arousals
Beta Spindles
Nocturnal Seizures
Leg Movements
Bruxism
Obstructive Apneas
Hypopneas
Central Apneas
Mixed Apneas
Cheyne-Stokes Breathing
Snores
Respiratory Effort Related Arousals
Chapter Summary

Chapter 14 EKG Rhythms
Reading EKG Tracings
Normal EKG Ranges
Sinus Rhythms
Atrial Rhythms
Ventricular Rhythms
AV Blocks
Chapter Review

Chapter 15 Scoring and Reporting
Sleep Study Times, Formulas, and Calculations
Types of Sleep Reports
Sample Sleep Reports
Scoring Notes
Chapter Review

Chapter 16 Pediatric Sleep Medicine
Significance of Pediatric Sleep Medicine
Special Considerations
Pediatric Patient Hookup
Pediatric Sleep Recordings
Scoring Pediatric Sleep Studies
Chapter Review
Comprehensive Posttest
Answers and Explanations

Glossary
Index
References

About the Author(s)

William H. Spriggs, BS, RPSGT

Will Spriggs started working as a sleep technician in 1998 at Salt Lake Regional Medical Center in Salt Lake City, Utah. After earning his registry in polysomnography, he went on to receive bachelor’s degrees in psychology and sociology from the University of Utah. Mr. Spriggs has worked in various management positions within the field and went on to form Sleep Ed, LLC, a company designed for developing and selling educational products for sleep technicians. Upon moving to Dallas, Mr. Spriggs served as Director of Operations at Sleep Healers where he helped them to grow to be the largest sleep disorder company in North Texas.