Patient Care Services

Solving Sleep Problems
The first step in the evaluation of a sleeping problem is for the patient to see his or her physician. If the sleep problem is not caused by a medical condition that can be readily treated by the physician, a patient may be referred to a pulmonologist or otolaryngologist (ear, nose, and throat specialist) who may refer to the Sleep Laboratory. Also, any child experiencing sleep difficulties may receive diagnosis and treatment through Greenwich Hospital's Children's Sleep Services.

Patient Evaluation & Diagnosis
At the Sleep Laboratory, patients are admitted in the evening for an overnight stay. Every effort is made to approximate the normal sleeping pattern of the patient, including a comfortable private room in a quiet setting.

A vast array of monitoring and observation devices are prepared including an electrocardiogram and electroencephalogram; sensors to measure muscle functions, eye movement, oxygen levels, and breathing; and an infrared camera for closed circuit monitoring. The data is collected by a computerized polysomnograph with a registered respiratory therapist in constant attendance.

In the morning, the patient may leave as soon as the test is completed. The data is processed and analyzed, and the results are forwarded to your physician with recommendations for treatment follow-up.

The Sleep Lab at Greenwich Hospital is devoted to finding a solution to these and other sleep problems. The length of time it takes to solve sleep problems varies with each individual and with the type of problem presented.

Treatment
Successfully treating sleep apnea depends upon the individual, but several methodologies are usually employed. (1) Behavioral modification. A program of weight loss and exercise, sleeping on one's side or avoidance of alcohol may be helpful in mild cases. (2) Surgery. A number of surgical techniques are available, but, once again, this solution may not be for everyone. (3) Nasal CPAP. CPAP is the most common and effective treatment available. A small mask is worn over the nose through which pressure is applied that holds the airway open, thus preventing the airway obstruction found in sleep apnea.