Course Outline

Day 1 Monday

• Introduction to the course and the manual
• A brief history of sleep medicine and the accompanying evolution of acquisition equipment (slide presentation)
• Standard definitions and accepted abbreviations in polysomnography
• Overview of Current Concepts 3The Sleep Disorders2 (required reading)
• Overview of Sleep and Sleep Disorders MedicineÜClassifications, Signs and Symptoms (slide presentation)
• A review of patient monitoring devices
• Basic safety and universal precautions

Day 2 Tuesday

• Sleep lab tour and brief review of equipment
• Quiz on sleep disorders
• Basic respiratory physiology as it pertains to sleep related breathing disorders
• What causes respiratory events: Obstructive, Mixed, Central, Hypopnea, UARS
• What is hypoventilation syndrome
• Neuromuscular disease and breathing related syndromes
• Obstructive sleep apnea syndrome and CPAP
• 3 hours watching a PSG hookup in a lab setting--evening, or a video of a typical night for an OSA patient in the sleep lab

Day 3 Wednesday

• Questions and answers on covered material
• Quiz on different types of breathing disordered events and covered material thus far
• Video: International 10-20 system of measurement
• The modified 10-20 system for lead placement in polysomnography
• Practice measuring and marking the head for electrode placement

Day 4 Thursday

• Basic cardiac physiology and arrhythmia detection
• Blood flow and structure of the heart
• Conduction pathways
• QRS review
• Arrhythmias; signal origination
• What breathing disorders do to your heart
• Polysomnographic documentation basics
• Systematic hookup method
• Live demonstration of the systematic hookup method
• Interfacing with acquisition equipment
• Headbox inputs
• Impedance checks
• Machine calibrations
• Conducting the overnight polysomnogram
• Acquiring data
• Patient calibrations
• Recognizing artifacts
• Troubleshooting

Day 5 Friday

• Group 1 to practice complete patient hookups on Group 2
• Proper cleaning and sterilization of patient monitoring devices
• Group 2 to practice complete patient hookups on Group 1
• Proper cleaning and sterilization of patient monitoring devices

Day 6 Monday

• Question and answer session on material covered thus far
• Exam on material covered thus far
• Video presentation followed by live Q & A phone conference
• Sleep stage recognition
• Review and discussion of staging examples
• Review and discussion of actual sleep recordings
• Review of current masks used for CPAP and practice proper mask fitting on each other

Day 7 Tuesday

• Titration of CPAP
• Practice complete patient setup with mask, record data—Group 1
• Using Bi-Level Therapy
• Practice complete patient setup with mask, record data—Group 2

Day 8 Wednesday

• Review of polysomnographic data
• Understanding filters and polysomnographic electronics
• Event scoring
• Practical experience in the sleep laboratory (Group 1 to be patients in lab)

Day 9 Thursday

• Understanding the sleep report
• Review of polysomnographic data samples and reports
• Practical experience in the sleep laboratory (Group 2 to be patients in lab)

Day 10 Friday

• Review of some of the group1s data
• Getting involved in sleep organizations, meetings, sleep advocacy
• Exam review
• Final exam
• Course evaluation/feedback