Course Curriculum
Clinical Record Review and Scoring Workshop
Course Objective:
To provide essential training and education in polysomnography and sleep laboratory methodology to respiratory therapists, EEG technologists, physicians, nurse practitioners and other health professionals
Course Curriculum:
Overview of Polysomnography and Standard Recording Techniques
- Routine PSG recording parameters
- Optional PSG parameters
- The use of polysomnography in sleep medicine
- Analog vs. digital recordings
- PSG scoring and interpretation practices
- Quality issues
Instrumentation Review
- Basic principles of bio-electrical signal processing
- Amplifiers and filters
- Analog to digital conversion
- System referencing
- Equipment calibration
- Appropriate data display
- Patient bio-calibration procedures
Sleep Stage and Arousal Scoring
- Standard sleep stage scoring parameters
- Rechtschaffen and Kales sleep stage scoring criteria
- AASM sleep stage scoring criteria
- Scoring arousals
- Developing pattern recognition skills
- Documenting atypical findings
- Technical and practical considerations
- Sleep stage scoring workshop
Abnormal Record Scoring and Interpretation
- Diagnostic aspects of sleep disordered breathing
- Overview of respiratory transducers
- Scoring and tabulation of respiratory events
- Identifying and scoring periodic limb movements
- Atypical sleep EEG patterns
- Drug effects on sleep
- NREM and REM parasomnias
- ECG interpretation for the sleep laboratory
- Artifact recognition
- Abnormal record review
Evaluating Positive Airway Pressure Titration Studies
- Basic principles of PAP operation
- Titration protocols and policies
- Effects of rebound sleep
- Bi-level PAP therapy
- Modes of operation
- Complex titrations
- Adaptive servo-ventilation (ASV)
- Ensuring long-term success with PAP therapy
Measurement and Evaluation of Excessive Daytime Sleepiness
- Common causes of daytime sleepiness
- Subjective vs. objective measures of sleepiness
- Multiple sleep latency testing
- Maintenance of wakefulness testing
- MSLT / MWT record review
Scoring Variables and Report Formulation
· Standard definitions
· Scoring variables calculations
· Report formats / histograms
· Report accuracy
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