Sleep Study Actuals

[Guest guest]

I finally received the written results of Nick's sleep study and have

consulted with his doctor. According to the report Nick has a normal

sleep onset, however, his total sleep time decreased to 216.9 minutes

with decreased sleep efficiency. This explains why he is still so

sleepy after he awakens in the morning. Next, during NREM sleep,

Nick was noted to have moderate sleep disordered breathing (30-59)

characterized predominantly by obstructive apnea and hypopnea.

During this period, his oxygen saturation was noted within the normal

range however, he had significant desaturation into the 80% range

during the apneic and hypopneic breathing events which spontaneously

resolved with Nick repositioning himself. He was also noted to

have severe sleep fragmentation most likely associated with reduced

inspiratory airflow.

He had normal sinus rhythm with 15 premature atrial contractions and

25 premature ventricular contractions that were uniform and single.

No sinus pauses were identified.

Doctor's Impression: Severe Obstructive sleep disordered breathing

associated with oxygen desaturation and severe

sleep fragmentation.

Recommendations: ENT evaluation for the additional need for T & A

at the time of myringotomy tube placement.

Re-evaluation with repeat sleep study 2-3 month

post-op only if symptoms of sleep disordered

breathing do not abate.

The ENT would like to perform the full surgery next week. I expected

to have to wait a few weeks for a surgical date. He will have to stay

overnight based on the recommendation of his sleep doctor and

cardiologist. This overnight stay is recommended due to Nick having

DS.

My question to all of you who have gone through this surgery - is

there pre-op testing required? When Nick had heart surgery he

had the complete pre-op testing...chest x-ray, blood work, etc.

When he had the testicle surgery no pre-op testing was required.

Bonnie