Overnight Sleep Study FAQ
Doctors call this study a polysomnogram. It charts your brain waves, heart
beat, and breathing as you sleep. It also records your eye and leg movements
as well as muscle tension. Sensors are placed on your head, face, chest
and legs. They send tiny electrical signals to a computer.
The signals show when you are asleep and awake during the night. The brain-wave
and eye-movement detectors show when you are in REM sleep. This stands
for rapid eye movement sleep. This is a stage of sleep where your eyes
twitch and your brain waves are very active. It is also the stage of sleep
when you have most of your dreams.
The breathing monitors show the number of times you stop breathing. They
can also detect low air flow and minor changes in oxygen level. The leg
sensors show both minor twitches and major movements that occur during
the night. A clip will also be placed on your finger to note changes in
the level of oxygen in your blood. The clip monitors the color of your
blood. As blood loses oxygen, it turns from red to blue.
Who gets it?
A polysomnogram is often used in the following cases:
- To look for sleep-related breathing disorders, such as sleep apnea
- To set the correct levels of continuous positive airway pressure (CPAP)
in patients with sleep related breathing disorders
- To go along with a daytime nap study to see if someone has narcolepsy
- To look for behaviors during sleep that can be violent or could be harmful
to the patient or others
Your doctor will want to order a polysomnogram if he or she thinks you
have any of these problems. You might also have a sleep study if you are
already being treated for a sleep disorder but you are not getting better.
The sleep study can help your doctor see why the treatment is not working.
What happens when I have it?
The doctors at the sleep center will go out of their way to make you feel
relaxed. You will be asked to come to the center in the evening. Some
time will be given for you to make yourself at home in the bedroom. No
other patients will be in the room with you.
You will not feel any pain during the polysomnogram. The sensors are gently
placed on your skin and connected to a computer. The wires are long enough
to let you move around and turn over in bed. You will be asked to move
your eyes, clench your teeth and move your legs. This will make sure that
the sensors are working.
You are free to read or watch TV until your normal bedtime. Then the lights
are turned out and it is time for you to try to fall asleep. A low-light
video camera allows a technologist to see you from a nearby room. He or
she will have to enter your room if a sensor comes loose. He or she will
also have to detach the wires if you need to go to the bathroom during
The polysomnogram is not a test that you can fail. Nearly everyone falls
asleep during the study. Most people do not sleep as well as they do at
home. This will not affect the results. In most cases, you do not need
to sleep for a full eight hours to find the source of your problem.
In the morning you will test the sensors again, and then they will be removed.
This will complete the study, and you will be free to go. You may be tired
if you did not sleep well during the night. Otherwise, you can return
to normal activities on the day after a sleep study.
Who reads it?
A technologist is the first one to look over the data from a sleep study.
First, he or she will chart your sleep stages. Then, he or she will look
for any events of abnormal breathing or leg movement. The results will
be given to a doctor that is a board-certified sleep specialist. The specialist
will review the study to find out what kind of sleep problem you may have.
How do I get the results?
It usually takes about two weeks to get the results of a sleep study. At
times the doctor who takes a look at the study needs to get more information.
He or she may talk to the technologist or to the doctor who sent you to
The doctor who ordered the study will discuss the results with you. If
your primary care doctor ordered it, then the results are sent to him
or her. If you met with a doctor in the sleep center, then he or she will
tell you the results.