Friday, 20 November 2015

What is Polysomnography (PSG) or Sleep Study?



Polysomnography is a Sleep Scoring technique or study of sleep, performed taking multiple parameters into consideration. The purpose of the test is to determine or eliminate the Sleep Disorders from which the subject maybe ailing. The procedure involves the recording of various biological and physiological changes which a person goes through while sleeping. The recordings are then subjected to comparison with the known Sleep Disorder readings to confirm or reject the possibilities.

The patient is called to the Sleep Clinic in the evening. After briefing him on the procedure, he is then wired up to the machines which start recording the various changes as soon as he falls asleep. The recordings are done through a minimum of 12 channels requiring at least 22 attachments. Some of the body functions, which are measured during the test, are brain activity, muscle activity, eye movements, heart rhythm, respiratory functions, etc. Once the test is over with the person waking, the most important parameters which are analyzed include sleep onset latency (time taken to fall asleep), sleep efficiency (the ratio between the amount of time spent on bed and the amount of sleep), sleep stages, breathing irregularities (if any), sleep interruptions, cardiac rhythm, leg movements, position of the body while sleeping, and oxygen saturation.

Although the entire procedure can be conducted without any human intervention, it is widely believed that for achieving high accuracy in results, the presence of Sleep Technicians and Sleep Experts is required. The procedure, where the experts are present, is called Manual Sleep Study Scoring.