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CME Module 11: Obstructive Sleep Apnea and the Anesthesia Patient |
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Diagnosis of OSA

Figure 4. Patient instrumented for a polysomnography study. |
Polysomnography, usually involving an overnight sleep study, is required to formally diagnose OSA. It is usually performed in a specialized sleep center, where numerous body functions are monitored and scored (e.g., respiratory pattern, pulse oximetry, electroencephalogram [EEG], electrooculogram [EOG], and chin electromyogram [EMG]).
Figure 4 (right) and Figure 5 (below) illustrate the process.

Figure 5. Sample polysomnography recording showing apnea periods with subsequent desaturation events. |
Figure 4 image credit: originally from REM Sleep Diagnostics Inc.
Figure 5 image credit: originally from University of Kansas