Posted by RPSGT on June 18, 2005 at 04:48:58:

In Reply to: OSA, UARS, and passive agressiveness posted by REM Inhibitor on June 18, 2005 at 01:38:00:

If the patient has possible UARS during the NPSG, you should apply a nasal pressure transducer to more sensitively document its presence as well as make scoring respiratory events much easier. If you know the events are real, if airway resistance is causing arousals, then you must agree that performing an MSLT is a giant step in the wrong direction. The pt. needs CPAP. Its your job to document enough events to make that possible. This may include forcing the pt. to sleep through several REMs while supine, removing all pillows from beneath the head and most importantly using a nasal pressure transducer tweaked to record >100Hz. The pattern "waveform curve" of flow limitation is just as important as overall amplitude reduction when documenting "events" and your lab's P&P should reflect this.

Follow Ups:

• Re: OSA, UARS, and passive agressiveness BA, CRT, RPSGT 18:14 6/18/05 (1)
  • Re: OSA, UARS, and passive agressiveness Divesplat 19:45 6/20/05 (0)

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