Sleep Lab

SLEEP LAB

Welcome to the Rosenfeld Neurology & Sleep SLEEP LAB, Savannah's only ACHC Accredited Independent Sleep Facility.

We are delighted that you have chosen to participate in a sleep study at our facility. This flyer will guide you through everything you need to know and do to prepare for your upcoming appointment. Please read it carefully and feel free to contact us (Mike Shehee, Lab Manager, 912-326-0643) if you have any questions or concerns.

LOCATION: 7001 Hodgeson Memorial Dr. Suite 2 (Side Entrance: Benefield Dr and Forest Dr)

Before Your Appointment

  1. Confirm Your Appointment: Double-check the date, time, and location of your sleep study. If you need to reschedule or have any concerns, please contact us promptly. (Mike Shehee 912-326-0643)
  2. Pre-Registration: Ensure all necessary paperwork (sleep questionnaire) and insurance information are completed beforehand to expedite your check-in process. Authorizations and scheduling require insurance cooperation and turn around times, please contact Mike Shehee if there are any concerns about this process.
  3. Medications: Continue taking your prescribed medications unless instructed otherwise by your physician or our staff.
  4. Avoid Caffeine and Alcohol: Refrain from consuming caffeine and alcohol on the day of your sleep study, as they can affect your sleep patterns.
  5. Eat Normally: Have your usual meals unless otherwise instructed.
  6. Keep nightly sleep patterns: Do not nap or alter sleep patterns before sleep appointments.

Day of Your Sleep Study

  • Arrival Time: Please arrive at the sleep center at least 30 minutes before your scheduled appointment time. If there is a traffic delay, issues with arrival please call Mike Shehee at 912-326-0643
  • What to Bring/Prepare:
    • Comfortable, loose sleepwear (e.g., pajamas, no silk, cotton is best)
    • Personal toiletries (toothbrush, toothpaste, etc.)
    • Any medications you may need to take during your stay, however, certain antidepressants and/or stimulants may be needed to be held for a Multiple Sleep Latency Study. See Below.
    • Scalp must be accessible, clean hair and no braids if possible
    • No gels or hair spray on scalp
    • No lotions or body oils
    • If you are preparing for the MSLT test, we will have water available but food is provided/paid for by the patient, and ordering by delivery is accessible.
  • What to Expect:
    • You will be shown to your private bedroom where you can change into your sleepwear
    • Electrodes will be placed on your scalp, face, chest, and legs to monitor brain waves, heart rate, breathing patterns, and other vital signs
    • A small clip will be placed on your finger to monitor oxygen levels
    • The entire procedure is painless and non-invasive
  • During the Study:
    • Try to relax and sleep as naturally as possible
    • If you need to get up during the night, simply notify the sleep technologist
  • After the Study:
    • You will be woken up in the morning, 5:00 am
    • The electrodes will be removed, and you will have the opportunity to freshen up before leaving
  • Additional Information

    1. Results: Your sleep study results will be reviewed by a sleep specialist, Dr. Victor Rosenfeld, and results will be discussed with you during a follow-up appointment
    2. Follow-up: Depending on the findings, further evaluation, treatment or test recommendations may be discussed
    3. Contact Us: If you have any questions before or after your sleep study, please do not hesitate to call us at 912-326-0643 or mss.sleepwellnessinc@gmail.com.

    TYPES OF IN-LAB SLEEP STUDIES

    DIAGNOSTIC OVERNIGHT POLYSOMNOGRAM (PSG)

    Polysomnography is used to diagnose, or rule out, many types of sleep disorders including Sleep Apnea, Periodic Limb Movements, REM Behavior Disorder, Parasomnias. PSG is often ordered for patients with complaints of daytime fatigue or sleepiness that may be caused by interrupted sleep. The test consists of a continuous recording from 6 to 8 hours and occurring during a patient's typical sleep hours. A polysomnogram typically records a minimum of eleven channels requiring a minimum of 22 wire attachments to the patient. Two channels are for the EEG, one or two measure airflow, one is for chin movements, one or more for leg movements, two for eye movements (EOG), one for heart rate and rhythm, one for oxygen saturation and one each for the belts which measure chest wall movement and upper abdominal wall movement. All the leads will be cleared after the procedure.

    CONTINUOUS POSITIVE AIRWAY PRESSURE TITRATION (CPAP TITRATION)

    If a patient is diagnosed with Obstructive Sleep Apnea or Central Sleep Apnea a during a diagnostic polysomnogram then a CPAP titration may need to be performed. CPAP is initiated and the pressure is increased by the technician until your breathing and body oxygen is normalized and Obstructive Apnea has been eliminated, especially while supine and during REM sleep when sleep apnea tend to be at its most severe. Similar to an overnight PSG patients will spend the night in the lab. All the leads will be cleared after the procedure.

    MULTIPLE SLEEP LATENCY TEST (MSLT)

    The MSLT is usually performed during the day following your overnight sleep study. The Multiple Sleep Latency Test (MSLT) can be used to test for Narcolepsy and Hypersomnia. It is used to measure the time it takes from the start of a daytime nap period to the first stage of sleep, called sleep latency, and the stage of sleep. The test consists of 4 to 5 nap opportunities occurring every 2 hours lasting approximately 20-35 minutes following the PSG. You are asked to stay awake during the procedure. Please bring reading material or a laptop to keep yourself occupied between the nap tests. All the leads will be cleared after the procedure. Certain antidepressants such as SSRIs and SNRIs as well as stimulants can interfere with the test results, so the referring provider will discuss if those need to be held or weaned prior to the MSLT.

    LOCATION

    LOCATION: 7001 Hodgeson Memorial Dr. Suite 2. (Side Entrance: Benefield Dr and Forest Dr)



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