Vida Sleep Center & Spa evaluates and treats all individuals with sleep disorders including sleep apnea, insomnia, periodic limb movements, narcolepsy and a variety of other unusual sleep disorders.

At your initial appointment, you will meet with one of our board-certified sleep medicine doctors. During this appointment, one of our doctors will carefully review your medical history and listen to your questions and concerns. Based on this discussion, a sleep study (also known as a polysomnogram) may be ordered to help diagnose possible sleep disorders. A sleep study measures your sleep cycles and stages by recording movement, breathing rate, blood pressure, blood oxygen saturation and heart rhythm.

4During the sleep study, you will sleep in a private room that has been designed to be as close to your home bedroom as possible.  The majority of our sleep studies are performed overnight, but we are able to accommodate a schedule close to your natural sleep habits.

When you arrive for your sleep study, a registered sleep tech (polysomnographic tech) will place electrodes on your chin, scalp and the outer edge of your eyelids. These will measure your brain waves, heart beat and breathing throughout the night. The electrodes are applied so you can turn and move in your sleep with little discomfort. Signals from the electrodes are recorded while you are awake with your eyes closed and during sleep. The time taken to fall asleep is measured as well as the time to enter rapid eye movement sleep. Monitors to record your heart rate and breathing will be attached to your chest. During some sleep studies, an infrared camera may be used to capture movements during sleep.

During the night, the sleep tech will be monitoring your readings from our control room. The results of this evaluation are studied by our staff and, depending on your diagnosis, your physician will discuss available treatment options. When appropriate, you'll come back to the Vida Sleep Center for follow-up evaluations to determine the effectiveness of the treatments.
In most cases, the cost of sleep evaluations is covered by most insurance companies.Our services include:

Our services include:

  • Sleep Consultations – Individual evaluations with a Board Certified Sleep Specialist.
  • CPAP Titration Study (CPAP/BIPAP) – Treatment for Sleep Apnea.
  • MSLT Study – A daytime test that evaluates daytime sleepiness and is a rule-out for Narcolepsy.
  • MWT Study – A measurement of the ability of a person to stay awake.
  • Polysomnography (PSG) – An overnight sleep study in which sleep stages are monitored.
  • Home Sleep Apnea Test (HSAT) – A home sleep study employing a portable monitoring device.
  • Pulse Oximetry Screening - A home overnight monitoring of SaO2 and pulse.

polisomnografiaRoutine Polysomnography:

Routine polysomnography is ordered to confirm or rule out the diagnosis of sleep apnea, Narcolepsy, insomnia, and most other sleep disorders.  This type of recording typically consists of 15 or 16 channels of polygraphic recording.  The variables measured include two channels of electrooculographic (EOG) activity, three to four channels of electroencephalographic (EEG) activity, one channel of chin electromyographic (EMG) activity, one channel of electrocardiographic (EKG) activity, one channel of nasal/oral air flow, one channel of abdominal respiratory effort, one channel of oxygen saturation as measured by pulse oximetry, and one channel of snoring sounds.  Video and audio tape are continuously recorded and measures of body position are obtained.

Multiple Sleep Latency Test (MSLT):

The MSLT routinely follows nocturnal polysomnography.  The MSLT provides the patient with four or five scheduled opportunities to nap during the day.  This is a routine test in the evaluation of daytime sleepiness.  The mean latency to sleep onset for all naps is calculated as a measure of daytime sleepiness.  The MSLT can be important in determining the severity of sleep apnea or your response to treatment.  Detection of rapid-eye-movement (REM) sleep episodes on the MSLT may be required for the diagnosis of narcolepsy. ‰

Nocturnal Polysomnography with CPAP Titration:

May be ordered for patients with sleep-related breathing disorders confirmed by nocturnal polysomnography.  Consists of all measures included in routine nocturnal polysomnography as well as the application of nasal continuous positive airway pressure (CPAP) or intermittent positive airway pressure (BiPAP).  Nasal CPAP and BiPAP pressures are adjusted throughout the night to determine the appropriate pressure(s) to be prescribed in treatment.

Split-Night Polysomnography:

Split-night polysomnography combines essential elements of Routine Polysomnography (see above) and Nocturnal Polysomnography with Nasal CPAP Titration (see above).  Split-night polysomnography typically is ordered under special circumstances in order to obtain diagnostic data and treatment data in one night of recording.‰

Maintenance of Wakefulness Test (MWT): 

The MWT is a test that is used to determine an individual’s ability to remain awake when placed in an environment that is conducive to sleep.  The procedure is similar to the MSLT (see above) in that four or five test sessions occur throughout the day.  However, each test challenges the individual’s ability to remain awake while laying supine in a darkened room.  The MWT may be used to determine response to treatment, and may provide documentation of a person’s ability to remain awake in critical situations.

Specialized Polysomnographic Procedure:

Includes transcutaneous CO2 monitoring, EEG studies to rule out seizure disorders, application of positive pressure ventilation or negative pressure ventilation for the treatment of some sleep-related breathing disorders, or other specialized polysomnographic procedures.

How Sleepy Are you?

The questions below will help measure your general level of daytime sleepiness. Answers are rated on a reliable scale called the Epworth Sleepiness Scale (ESS) – the same assessment tool used by sleep experts worldwide.

Each item describes a routine daytime situation. Use the scale below to rate the likelihood that you would doze off or fall asleep (in contrast to just feeling tired) during that activity. If you haven’t done some of these things recently, consider how you think they would affect you.
Please note this scale should not be used to make your own diagnosis. It is intended as a tool to help you identify your own level of daytime sleepiness, which can be a symptom of a sleep disorder.


Use the following scale to choose the most appropriate number for each situation:

0: Would never doze
1: Slight chance of dozing
2: Moderate chance of dozing
3: High chance of dozing


Activity:
Sitting and reading
Watching television
Sitting inactive in a public place (movie theater or meeting)
Riding as a passenger in the car for an hour without a break
Lying down to rest in the afternoon
Sitting and talking to someone
Driving a car, stopped in traffic
Sitting quietly after lunch (when you’ve had no alcohol)


If your total score is 10 or higher, consider discussing these results with your physician or please call Vida Sleep Center & Spa at 201 766 6471 to schedule an appointment with one of our board-certified sleep medicine physicians to discuss your symptoms.

Sleep Disorder Treatment

Your doctor or sleep specialist will first try to figure out why you're having trouble sleeping. If you are diagnosed with a sleep disorder, your treatment will depend on its cause.

Sleep Apnea Treatment

weight loss can improve–but may not adequately treat–sleep apnea. Avoiding alcohol and sleeping pills can also help. A continuous positive airway pressure (CPAP) machine may be used. With CPAP, each night a patient wears a mask that increases the air pressure in the throat. This prevents the airway from becoming too narrow and allows the patient to sleep without interruption.

Insomnia Treatment

Attempts to control environmental and lifestyle factors should be made; these factors include:
  • Erratic hours of wakefulness
  • Too much light
  • Too much noise
  • Too much caffeine or other stimulants
  • Restless Legs Syndrome treatment
  • Restless legs syndrome is a treatable condition. Several medications are available to treat restless legs as well.
  • Narcolepsy treatment


Lifestyle adjustments and learning to cope with the emotional and other effects of narcolepsy may improve functioning in work and social activities. Prescription medications may be necessary.

 

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