The Sleep Center at Pulmonary & Sleep Associates, is the
area's most comprehensive sleep disorders center. The experience
of our multidisciplinary staff is extensive and includes both
pediatric and adult sleep medicine. Pulmonary & Sleep Associates
is fully accredited by the American Academy of Sleep Medicine.
Pulmonary & Sleep
Associates evaluates sleep disorders, including insomnia, snoring,
sleep apnea, narcolepsy, and others. During
a first visit to the center, a sleep specialist will conduct an
evaluation. The specialist will take a comprehensive sleep history,
and will perform a physical examination. If a sleep study is deemed
necessary, the patient will be asked to make an appointment to
return and spend the night in one of our private, comfortable,
disorders rob more than 100 million Americans of a good night's
sleep. More than 80 different sleep disorders limit quality of
life and result in poor health. Some can even be life-threatening.
During a sleep study, breathing, brainwaves, muscle activity and
heart rhythms are monitored. After the study is complete, it is
scored and summary data is compiled. The study is read and the
data interpreted by one of the sleep specialists, who then makes
a diagnosis and recommends treatment.
The most common types of sleep
Polysomnography. This procedure records a variety
of body functions during sleep, including electrical activity
of the brain, eye
movement, muscle activity, heart rate, breathing, air flow through the nose
and mouth, and blood oxygen levels.
Multiple sleep latency
test. This test measures how long it takes you to fall
asleep during naps taken over the course of a
Multiple wake test (MWT). This test, which is also called
maintenance of wakefulness test, measures your ability to
during a designated wakeful time.
Sleep studies are done to diagnose
sleep disorders, which typically include:
Sleep disordered breathing
or obstructive sleep apnea.
Problems staying awake (from
conditions such as narcolepsy).
Problems with sleep-disruptive
behaviors (such as sleepwalking, night terrors, or bed-wetting).
with daytime sleepiness or insomnia (from conditions
such as sleep apnea or restless legs syndrome).
Sleep apnea is
a condition that occurs when a person regularly
stops breathing during sleep for 10 seconds or longer. It can
be classified as mild, moderate, or severe, based on the number
times per hour breathing stops (apnea) or slows (hypopnea). Apnea
episodes may occur from 5 to 50 times an hour.
A person with sleep
apnea may snore loudly and have a restless sleep with difficulty
breathing. The person may wake up with
a headache and be very tired throughout the day.
Sleep apnea may
improve with changes in sleep habits, such as resting position.
Sometimes devices to help breathing during
useful; occasionally surgery is tried.
Should I have a sleep study
to diagnose obstructive sleep apnea?
The most common form of sleep apnea is obstructive sleep apnea
(OSA). If undiagnosed and untreated, OSA can interfere with your
quality of life. If you have OSA, you may be at risk for excessive
daytime sleepiness and complications such as high blood pressure,
high blood pressure in the lungs (pulmonary hypertension), depression,
irregular heart rhythms, heart failure, coronary artery disease,
Narcolepsy is a disabling sleep disorder that mixes
the nervous system's messages about when to sleep and when
to be awake. Narcolepsy
usually starts during the teen years or early adulthood and
continues throughout life.
Narcolepsy may cause:
Sudden sleep attacks, which may occur at
any time during any type of activity, such as eating dinner,
driving the car, or carrying
on a conversation. These sleep attacks can occur several
times a day and may last from a few minutes to several hours.
Sudden, brief periods of muscle weakness while a person
(cataplexy). The weakness may affect specific muscle
groups or may affect the entire body. These periods of muscle
often brought on by strong emotional reactions, such
as laughing or crying.
Hallucinations just before a sleep
Brief loss of the ability to move when a person
is falling asleep or just waking up (sleep paralysis).
Medications may help prevent
sleep attacks and episodes of muscle weakness, but narcolepsy
rarely goes away completely.
Restless legs syndrome is a condition
caused by uncomfortable sensations in the legs that produce an
intense, often irresistible
move the legs. This can lead to sleep disturbance and severe
fatigue that interferes with daily activities.
are described as "pins and needles," prickling,
creeping, crawling, tingling, and sometimes painful. They most
often occur in the evening when the person is attempting to
relax or sleep. Moving the legs can temporarily relieve these
The cause of this syndrome is often not known. Certain
drugs (such as antidepressants), pregnancy, or iron-deficiency
can trigger it.
Restless legs syndrome can be treated with drugs
such as those that increase the brain chemical dopamine (levodopa
agonists), pain medications (opioids), or anticonvulsants
(gabapentin) to control leg movements and assist with sleep.
Pediatric sleep services
At Pulmonary & Sleep Associates,
our pediatric sleep services are designed to meet the unique
needs of each individual child.
Our team of trained specialists works closely with the child's
primary physician to ensure appropriate evaluation and treatment.
testing facility is designed with state-of-the-art technology
and allows for a wider variety of measurements that are typical
in adult testing. Our facilities and equipment provide the "gold
standard" in sleep disorder evaluation. In addition, a
comfortable, non-threatening atmosphere helps to encourage
natural sleep. Technicians
continuously monitor each child - providing immediate physical
and emotional bedside support.
The physical and emotional needs
of children are very different from those of adults. This is
especially true with sleep disorders.
(Accommodations are made for a parent to spend the night in
the sleep center with the child to make the child feel more
An important component of health and well-being is
getting a good night's sleep. This is especially true for children.
sleep, children may not develop and grow normally or reach
their potential in school.
Approximately 20 percent of children
suffer from some form of sleeping problem. From poor sleep habits
to underlying medical
the impact can be devastating to the child and their family.
your child exhibit any of the following behaviors?
More than normal daytime sleepiness
Leg twitching or kicking
Difficulty waking up in the morning
Behavioral problems in
Unfocused or impulsive behavior
According to the American Academy
of Pediatrics, all children who snore should be screened for
Obstructive Sleep Apnea,
or OSA which
has been linked to ADHD in some cases. OSA occurs when the
airway is partially or completely blocked during sleep, during
time the body's oxygen levels can fall, and carbon dioxide
rise. This can result in poor brain oxygenation, fragmented
sleep, frequent arousals, and may, if left untreated, be
the heart and lungs. Statistics on snoring and OSA show that:
is a serious condition that occurs in 1% to 3% of otherwise healthy
preschool children. Pulmonary & Sleep Associates offers
patients and their families the opportunity for sleep evaluation
and treatment. A multidisciplinary team of specialists
work together with each patient, their family and primary care
physician to determine
For more information about adult and pediatric
sleep disorders or for an evaluation, contact Pulmonary & Sleep
Associates at 785-234-5480.
How Much Sleep Should Your Child Be Getting?
14 to 18 hours
10 to 14 hours
8 to 12 hours
8 to 10 hours
9 to 11 hours