What to Expect from Your Child's Sleep Study
We utilize the same tests used to diagnose and rule out sleep
disorders in adults for children. However, because children are more
likely to displace sensors during the night, we prefer to use attended
studies rather than home monitoring.
We recommend that a parent accompanies a child who spends the night
at the Sleep Clinic. The parent sleeps in the same room to make the
child more comfortable.
What should parents or caregivers expect when having their child's
sleep studied?
- A technologist will greet you and your child at approximately
7 p.m. in the waiting area of the lab.
- There will be
additional paperwork to complete.
- We will apply electrodes
and sensors with opportunity for frequent breaks. Your child may
watch television or a favorite DVD brought from home.
- We
expect the parents or caregivers to be active participants during
the child's hook-up procedure and remain with the child (under age
18) for the duration of the sleep study. Bedding accommodations are
provided.
- We will attempt to adhere to your child's usual
bedtime, if possible.
- Your child will be in a monitored
environment during the testing procedure; under the care of skilled
technologists.
- Typically, we begin waking patients at 6 a.m.,
unless a later or earlier wake up time is desirable. Please keep in
mind that the equipment takes approximately 20 minutes to
remove.
- We will provide instruction on CPAP and Bilevel
usage, if prescribed.
What should I bring for the child's stay in the sleep clinic?
- You will be requested to have your child dress in his/her
pajamas (two-piece without feet). Nightgowns and one-piece pajamas
sets are not acceptable attire. If you have questions regarding
proper sleep wear, please check-in with the lab staff prior to the
child's visit.
- You may bring the child's books, toys, a
favorite stuffed animal, special pillow and/or blanket, white noise
device, and favorite DVD movies (there is a DVD player in each
room), if desired.
- You should bring something for the child
to read or to work on during non-sleep periods.
- You should
bring your child's medications or special food needed during his/her
stay in the clinic, such as milk bottles. The lab does not provide
any of these items.
- You must bring your child's personal
toiletries (diapers, toothpaste, toothbrush, comb, brush, shampoo,
etc.), and a change of clothes for the next day. The lab provides
towels and bedding (but no toiletries), and there is a bathroom in
each room. Showers are available in most rooms.
- Please
leave all valuables at home
- Limited family members/friends
(1-2) are welcome to accompany you until the child's bedtime.
- One parent or caregiver must accompany all minors and must stay
overnight with the patient. The technologist team will expect the
assistance of a parent/guardian during the night, thus it is
critical for the adult to be in the room with the child.
- A
recliner is available in each room for one adult attending to the
child during the night.
- Please do not bring animals, unless
medically authorized.
- Please bring a list of medications
your child is currently taking.
- If your child uses a
CPAP/Bilevel machine, please do not bring the child's machine or
accessories unless requested by a sleep physician.
What is a polysomnogram?
A sleep study or polysomnogram is a test that measures body
functions during sleep. Performing a sleep study on a child is exactly
the same as conducting a study on an adult. During the night of study,
the child will sleep at our lab and be monitored by sleep technologists.
Each test will vary depending on the individual case, but some
measurements taken may include:
- Brain waves (EEG) - (surface electrodes on the child's
scalp)
- Eye movements (EOG) - (surface electrodes next to the
child's eyes)
- Muscle movements (EMG) - (surface electrodes
on and under the child's chin)
- Limb movements (EMG) -
(surface electrodes on the child's lower legs)
- Heart rate
(ECG) - (surface electrodes on the child's chest)
- Breathing
(Nasal/Oral) - (sensors placed onto the skin near the child's nose
and mouth)
- Breathing (Respiratory) - (small, elastic bands
placed around the child's chest and abdomen or surface electrodes
placed on the child's ribcage)
- Blood Oxygen Levels (SpO2) -
(small probe attached to the child's finger, and not taken from
actual blood samples removed from the child's veins)
- Esophageal Pressure (Pes) - (small tube inserted into the nose
and placed within the child's esophagus [food tube] to monitor the
child's work of breathing)
- Video Recording - (the child's
body movements will be recorded)
Other body functions may be recorded to answer special questions:
CO2, seizures, and movement activity.
In some cases, testing may occur during the daytime hours in place
of or in addition to an overnight study as ordered by the child's
sleep physician.
Sensor attachment will be done utilizing collodion (a glue-like
substance) which can be removed. Please prepare for this process by
thoroughly washing the child's hair before the child's visit to our
lab. In some cases, a paste adhesive will be used to attach the
electrodes and the child's head will be wrapped with a bandage
material to keep them in place. Other electrodes and devices are
attached with hypo-allergenic tape.
Why record all of these things?
Disrupted sleep can disturb daytime activities, and some medical
problems which occur during sleep involve a risk to basic health.
These parameters are recorded to obtain objective information about
the quality of sleep to better define the child's sleep problem.
How can the child sleep with all of these things on them?
Most children sleep well in the lab. They may be apprehensive about
the hook-up, depending on their age, but our experienced technologists
will work to reassure them. The body sensors are applied in a manner
that will allow the child to turn and move during sleep. The
technologist team communicates with everybody involved: parents,
caregivers, and the child to make the testing environment comfortable
and so that the procedures go smoothly. Having a parent with the child
during the sleep test and overnight stay makes them feel comfortable.
All children must be in the company of a parent, caregiver or family
member during their stay at the lab.
Will the sensor devices cause discomfort?
No! Sometimes, in preparing the sites for sensor application there
are mild temporary irritations; please inform us if the child has any
known sensitivity to particular tapes or if he or she has a latex
allergy. Some children experience temporary discomfort associated with
the Pes (esophageal pressure manometry) procedure. However, this does
not generally cause any significant discomfort.
What should I expect regarding meal service?
The lab is an outpatient facility. Meal service is not provided,
except for patients scheduled for daytime nap testing (MSLT or MWT).
Please have the child eat dinner prior to arrival at 7 P.M.! Please
bring snacks and drinks for refreshments, if so desired; vending
machines are also available.