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Pediatric Sleep Disorders Center Services

Outpatient Services

Clinical Diagnostic Evaluations

Our Sleep Clinic is available by physician referral. An outpatient clinic visit consists of a comprehensive evaluation which may include a physical exam, lab tests and x-rays. A complete history from the caregiver is of utmost importance. The patient/family history and the clinic evaluation will be combined to determine the diagnosis, order tests and make treatment recommendations.  All necessary sleep procedures will be performed in the Pediatric Sleep Disorders Lab.  If you feel your child may have sleep problems, please talk to your child’s primary care physician and request a referral to our service. If your child does not have a primary care physician, please call 501-364-4000 and we will recommend one in your area.

Polysomnography

Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders.  The polysomnogram technologist will observe you as you or your child’s sleep, record information about sleep patterns, and identify any sleep disorders. Polysomnography records brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.  In addition to helping diagnose sleep disorders, polysomnography may be used to help adjust the treatment plan if you or your child has already been diagnosed with a sleep disorder.

Actigraphy

Actigraphy a non-invasive method to assess body movement activity patterns using a device, typically placed on the wrist or ankle.  A small actigraph device or watch is worn for a week or more and monitors rest/activity cycles.  This test gives the doctor more information about you or your child’s regular sleep/wake patterns at home.

Sleep Hygiene Counseling

The term “sleep hygiene” refers to healthy sleep habits that can improve your ability to fall asleep and stay asleep. Sleep hygiene is a variety of good sleep habits that are necessary to have quality nighttime sleep and full daytime alertness.

Behavioral Modification Therapy

Behavioral modification therapy can improve your child’s sleep by changing their behavior before bedtime as well as changing things that keep your child from falling asleep or staying asleep. It helps your child develop habits that promote a healthy pattern of sleep.

Management and Monitoring of Positive Airway Pressure (PAP)

An effective therapy to treat obstructive sleep apneas (OSA) and sleep-disordered breathing in children and adolescents is with non-invasive positive airway pressure (PAP).  PAP therapy involves the delivery of room air by way of a bedside machine that delivers a stream of air to the child’s airway using an oral or nasal mask. This stream of air prevents airway collapse.  PAP machines use mild air pressure to keep the airways open in patients who have breathing problems during sleep. A team comprised of a sleep physician, a behavioral psychologist and a respiratory therapist operate the Adherence Program (ADP) to introduce the child to the PAP device and help acclimate them wearing it.  After initiation to the device, a consistent approach to desensitization, patient education, behavioral and technical support and frequent follow-ups helps to achieve further adherence.

Collaborative treatment with other medical specialists 

As part of our multidisciplinary approach to solving a child’s sleep problems, we may partner with or consult with other specialists.  Your child will have access to a specialist in pulmonology, neurology, otolaryngology, psychologists, and other specialties to determine the best course of treatment for your child’s sleep disorder.

Inpatient Services

Polysomnography

An inpatient polysomnogram (PSG) is available upon request from a provider.  The order with all the appropriate indications should be entered into Epic.  The order will be reviewed by the sleep physician to determine the appropriate test. The specialty nurse and/or a sleep tech will visit with the family to discuss the PSG, give them a questionnaire to complete, answer any questions or concerns and have the family watch the Sleep Disorders Video to help them prepare for the test.  Results will be communicated to the requesting provider once the PSG has been performed.  PSGs can be performed in-lab or bedside depending on availability.