The dedicated specialists at our sleep center are fully prepared to assist you in achieving your diagnostic and treatment needs, including providing both in-lab and at-home sleep tests. Throughout care, it is our intention to ensure both you and your physician’s office are aware of all developments in each stage of your sleep study.

Our team is dedicated to handling all referrals and results in a timely manner, amounting to typically two-week turnaround times. We also handle all insurance precertification. If you feel a particular sleep study may be right for you, you can ask your physician for a referral.

In-home sleep studies

If you are a candidate for an in-home sleep study, they are performed over two nights in the comfort of your own home, and provide an evaluation of how your body functions during sleep. During the study, you will be provided with a portable device that records and stores activities of your heart and lungs. Because this test is done at home, it is not attended by a sleep technologist, nor does it monitor your brain activity. Certain health conditions can be a contraindication for a home sleep study, so your doctor will determine if this is an appropriate option for you.

Maintaining wakefulness test (MWT)

The MWT measures how long you are able to stay awake in a quiet, dark environment. An MWT is typically done when your ability or inability to remain awake constitutes a public or personal safety issue. If you are experiencing excessive daytime sleepiness, we may also use MWTs to assess your response to treatment. This test is performed after an all-night polysomnogram to ensure you have had a successful six to eight hours of sleep the previous night.

Multiple sleep latency test (MSLT)

If you experience excessive sleepiness during the day, we will administer diagnostic tests to evaluate your sleep condition. The MSLT measures how quickly you fall asleep during a daytime nap. By testing several naps throughout the day, we can determine average sleep latency and presence of rapid eye movement (REM) sleep. MSLT is used to diagnose and differentiate narcolepsy and idiopathic hypersomnia, and always follows an all night polysomnogram. This is to ensure you had a successful six to eight hours of sleep the previous night to in order to provide more accurate results.

Polysomnography

Polysomnography is the evaluation of how your body functions during sleep. Sensors are placed on your head, face, chest and legs to monitor and record activities of your brain, heart, lungs and certain muscles as you sleep. The recording of these signals is called a polysomnogram (PSG), the findings of which are used to potentially diagnose your sleep disorder.

For individuals working night shifts, where overnight sleep studies may not be convenient, we offer polysomnography during the daytime.

After receiving a sleep disorder diagnosis, you will then be recommended treatment designed to improve your quality of rest.

Continuous positive airway pressure (CPAP) titration

If you are diagnosed with impaired breathing during sleep, your doctor may recommend a study of titration with a CPAP machine. This is an air pump that uses air pressure to gently open your airway as you sleep, in order to avoid closure of the airway from tissue in the neck area. As this study is performed, air pressure is increased throughout the night until a pressure is reached in which the sleep events are eliminated, and you are able to sleep without incident.

Bi-Level positive airway pressure (PAP) titrations

Your doctor might recommend a study with Bi-Level PAP machine if you have been diagnosed with impaired breathing during sleep, particularly central sleep apnea. This is also recommended if titration with the CPAP fails. The Bi-Level PAP machine will deliver the same type of air pressure as a CPAP machine, however it has pressure variations for both inhalation and exhalation. This is for both comfort and necessity. Bi-Level PAP titrations can include different iterations, such as:

• Auto servo ventilation (ASV)
• Bi-Level spontaneous
• Bi-Level spontaneous/timed (BiPAP S/T)