What is it?
This test charts your brain waves, heartbeat, and breathing as you sleep. It also records your eye and leg movements as well as muscle tension. Sensors are placed on your head, face, chest and legs and they send tiny electrical signals to a computer.

The signals show when you are asleep and awake during the night. The brain wave and eye-movement detectors show when you are in REM sleep. This stands for rapid eye movement sleep. This is a stage of sleep where your eyes twitch and your brain waves are very active. It is also the stage of sleep when you have most of your dreams.

The breathing monitors show the number of times you stop breathing. They can also detect low airflow and minor changes in oxygen level.

The leg sensors show both minor twitches and major movements that occur during the night.
A clip will also be placed on your finger to note changes in the level of oxygen in your blood. The clip monitors the color of your blood. As blood loses oxygen, it turns from red to blue.

Who gets it?
A polysomnogram is often used in the following cases:

• to look for sleep-related breathing disorders, such as sleep apnea
• to set the correct levels of positive airway pressure (PAP) in patients with sleep-related breathing disorders
• to go along with a multiple sleep latency test (MSLT) to see if someone has narcolepsy
• to look for certain parasomnias, sleep related behaviors that can be violent or could be harmful to the patient or others

You might also have a sleep study if you are already being treated for a sleep disorder but you are not getting better. The sleep study can help your doctor see why the treatment is not working.

What happens when I have it?
The staff at Georgetown Sleep Center will go out of their way to make you feel relaxed. You will be asked to come to the center in the evening. Some time will be given for you to make yourself at home in the bedroom. You will not feel any pain during the polysomnogram. The sensors are gently placed on your skin and connected to a computer. The wires are long enough to let you move around and turn over in bed.

You are free to read or watch TV until your normal bedtime. Then the lights are turned out and it is time for you to try to fall asleep. A low-light video camera allows a technologist to see you from a nearby room. He or she will have to enter your room if a sensor comes loose. He or she will also have to detach the wires if you need to go to the bathroom during the night.

The polysomnogram is not a test that you can fail. Nearly everyone falls asleep during the study. Most people do not sleep as well as they do at home. This will not affect the results. In most cases, you do not need to sleep for a full eight hours to find the source of your problem.

In the morning you will test the sensors again, and then they will be removed. This will complete the study, and you will be free to go. You may be tired if you did not sleep well during the night. Otherwise, you can return to normal activities on the day after a sleep study.

Who reads it?
A technologist is the first one to look over the data from a sleep study. First, he or she will chart your sleep stages. Then, he or she will look for any events of abnormal breathing or leg movement. The results will be given to one of our physicians who will review all of the data gathered during your sleep study.

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