npsg for a trach patient

[kirbyfirby]

what is the procedure to do a npsg on a trach patient with an open trach. and how would you do a bipap study after the npsg is finished?. What are the contraindicaions for this procedure and can it be done in a sleep center not a hospital?

[Steven Y Park, MD]

Do you have an open stoma or have a tube in place? In theory, if you have a connection from your neck to your windpipe, then you can't have obstructive sleep apnea. Also since you won't be breathing air in and out of your nose/mouth, the PSG readings will be inaccurate.

What's your reason for considering a sleep study and why did yo have to undergo the tracheotomy procedure?

[kirbyfirby]

The patient has a trach tube in place. The Doctor is concerned that she may be having central apneas. She is hypercapnic and is on BiPap at night using a home ventalator. My concern is how to do a npsg and montior the air comming from the trach. Also how accurate can the reading be? He would like this to be a split night and i am not sure how to do set up BIPAP using our machine. Would you try a full face mask over the trach?