The Multiple Sleep Latency Test分析课件.pptVIP

Calculation for Mean Sleep Latency Add all of the sleep latencies (including No Sleep of 20 minutes) and divide by the number of naps Example Nap #1: 4.0 minutes Nap #2: 2.0 minutes Nap #3: 5.0 minutes Nap #4: 3.0 minutes Nap #5: 6.0 minutes 20.0 minutes ÷ 5 = 4.0 minutes Mean Sleep Latency Maintenance of Wakefulness Test (MWT) By Glenn Roldan, B.S., RPSGT or RPSGT #450, RPSGT #2450, RPSGT #2990, RPSGT #3526 MWT Protocols 4-trial MWT 40-minute protocol is recommended @ 2 hour intervals. First trial begins 1.5 to 3 hours after the patient’s usual wake-up time. Performance of a PSG prior to MWT should be decided by the clinician based on clinical circumstances. Sleep logs prior to MWT may be used based on clinical judgment. Room should be maximally insulated from external light. Light source should be positioned slightly behind patient’s head (out of field of vision) with a illuminance of 0.10-0.13 lux at the corneal level (i.e. 7.5 watt light) Room temperature should be set based on the patient’s comfort level. Patient should be seated in bed, with the back head supported by a bedrest/bolster pillow such that the neck is not uncomfortably flexed or extended. Use of tobacco, caffeine and other medications by the patient before and during MWT should be addressed and decided upon by the sleep clinician before MWT. Drug screening may be indicated to ensure that sleepiness/wakefulness on the MWT is not influenced by substances other than medically prescribed drugs. Sleep technologists who perform the MWT should be experienced in conducting the test. Conventional recording montage should be utilized. Prior to each trial, patient should be asked if they need to go to the bathroom. Standard instructions for Bio-cals should be performed prior to each trial. Instruct the patient “Please sit still and remain awake for as long as possible.” Look directly ahead of you, and do not look directly at the light. Patients are not allowed to use extraordinary measures