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Introduction

The standard PSG includes the following channels:

  1. EEG: At least two channels are recorded to determine sleep onset, sleep stages, and sleep offset.

  2. Electro-oculogram (EOG): Documents both slow, rolling and REMs seen at sleep onset and in REM sleep, respectively.

  3. EMG: The chin EMG is used as a criterion for REM sleep; the leg EMG is used to evaluate periodic leg movements or leg jerks.

  4. ECG: Monitors heart rate and rhythm.

  5. Chest impedan Monitors respiratory effort by use of cardiopneumotachographs, strain gauges, or piezoelectric crystal belts.

  6. Airflow monitors: Thermistors or thermocouples are used to monitor oral and nasal airflow.

  7. Capnography: Continuous monitoring of end-tidal carbon dioxide (EtCO2).

  8. Pulse oximetry: Continuous monitoring of arterial oxygen saturation (SpO2) by noninvasive means.

  9. Snoring sensor: Microphone placed just below the jaw and lateral to the trachea.

  10. pH meter: pH probe placed in the lower third of the esophagus transnasally to monitor episodes of gastric reflux.

  11. Audio and video recordings: Document restless sleep, sleep walking, sleep talking, and night terrors, among other conditions.

The limited PM includes the following channels:

  1. ECG

  2. Chest impedance

  3. Airflow monitoring

  4. Pulse oximetry