so tell me: 4 or 5 nap MSLT?

Moderators: TexasSleepguy, labman2, respbarb

how many naps in the majority of your MSLT's

4
27
52%
5
25
48%
 
Total votes : 52

Postby Rick » Tue Jul 31, 2007 10:39 pm

Just one question:
Is it their habitual sleep pattern during the week or on the weekend?
Oh, One More:
Is it the pattern they truly keep or the one they wish they could keep?
Another:
How many of your patients do NOT use alarm clocks?
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Postby endymion » Wed Aug 01, 2007 9:34 pm

Good questions! I think the goal is to assure that we aren't out of step -- or at least, not way out of step -- with the patient's current circadian biochemical rhythms. We try to time the PSG according to what is (currently/most recently) a typical schedule for the patient, making sure we record adequate sleep on the PSG. We try to record 7.5 hours of sleep, for adults.

We also review the sleep log (we don't have actigraphs) to be sure the patient isn't carrying any outrageous sleep deprivation or sleep schedule irregularities. When scheduling the patient, we discuss the importance of getting adequate sleep and keeping to a regular sleep schedule during the 2 week period immediately preceeding the sleep tests.
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Postby sleepyincharlotte » Mon Aug 20, 2007 8:14 pm

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Postby sleepyincharlotte » Mon Aug 20, 2007 8:19 pm

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Postby sleeper » Mon Aug 20, 2007 8:54 pm

Does he do a blood test?
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Postby somnonaut » Tue Aug 21, 2007 2:12 am

A frank report of cataplexy qualifies for Dx of Narcolepsy.
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Postby sleepyincharlotte » Tue Aug 21, 2007 3:00 pm

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Postby polysomprincess » Wed Aug 29, 2007 6:54 pm

Nice.... i think i have narcolepsy... 8)

I am with Rick on this...if a patient hasnt had and rem in the first 4 naps...IF and i mean IF there is REM in the 5th nap...what does that accomplish... i'll tell you what it accomplishes...in the future we'll be doing 6 friggin naps...blabla!
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Postby oldsleeper » Wed Aug 29, 2007 9:32 pm

in the future we'll be doing 6 friggin naps...blabla!


Argggggggggggggghhhhhhhhhhhhhhhhh!!

Take it back poly,

quick before we're cursed with it or something :shock: :shock: :shock:
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Re: so tell me: 4 or 5 nap MSLT?

Postby sleeplab1 » Thu Oct 22, 2015 10:46 am

So if no sleep on the first 4 naps of an MSLT do you do a fifth nap?
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Re: so tell me: 4 or 5 nap MSLT?

Postby glenn » Thu Jun 15, 2017 4:03 pm

yes we have toooooooo
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Re: so tell me: 4 or 5 nap MSLT?

Postby somnonaut » Thu Jun 15, 2017 7:22 pm

And, coupled with the Nocturnal PSG, when the NPSG has a SOREM, that is 95% predictive of Narcolepsy. Then the single daytime SOREM is confirmatory.
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Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Fri Jun 16, 2017 2:32 am

that's right somno .. also the new guidlines show a 5-nap MSLT, unless 2 SOREM are noted on the first 4(including the PSG), then the 5th is not performed
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Re: so tell me: 4 or 5 nap MSLT?

Postby somnonaut » Sat Jun 17, 2017 2:40 am

"not performed"
Eh, not really, it becomes optional.
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Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Mon Jun 19, 2017 12:52 am

somnonaut wrote:"not performed"
Eh, not really, it becomes optional.


getting rather picky there, huh???
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