欧洲睡眠中心认证标准(4)

http://www.100md.com 2018年3月1日 《世界睡眠医学杂志》 20183

     The bedrooms must be equipped to allow professional diagnosis and therapy in the field of sleep medicine to be carried out and to enable both nocturnal examinations and assessment of daytime sleepiness.

    Table 2Nonexhaustive list of supplementary signals

    to be recorded，depending on the clinical

    specialization of the SMCOesophageal pressureOesophageal pHBody core temperaturePenile tumescenceNoninvasive blood pressureLongterm blood pressureExtended ECG，multichannelTranscutaneous O2，CO2Extended EEGExtended EOG (vertical eye movements)Extended EMG，multichannel，other extremitiesVideometry (synchronous image and signal recording)Pulse plethysmography or tonometryPulsetransit time

    The recording and examination rooms should be of an adequate size that complies with local specifications.2 The rooms must be sound and light attenuated and equipped with temperature and ventilation controls.To enable daytime assessments，such as the multiple sleep latency test (MSLT)，the rooms must be adequately darkened.

    Adequate sanitary facilities must be available near the bedrooms.

    Each bedroom should be equipped with a suitable video monitoring system.

    A twoway communication system must be installed which allows the patient and night duty technician to communicate with each other，and to enable biosignal calibration.

    A separate room，which is also sufficiently large and which ensures undisturbed working conditions，must be available for the monitoring equipment and the technical/nursing staff.Polysomnographic recording next to the patient′s bed is not acceptable.

    Recording techniques and criteria

    Polysomnography

    Polysomnography is a diagnostic technique comprising the simultaneous recording of neurophysiological，cardiorespiratory and other biosignals during an entire nocturnal sleep period.The suggested minimum PSG recording montage to be used in an SMC is listed in Table 1.Supplementary signals to be recorded depending on the clinical specialization of the SMC are listed in Table 2.

    Polysomnographs can either be recorded on paper or digitally.However，if digital recordings are performed，then a printout on paper must be possible.The digital recording device must allow the viewing of previous epochs during the recording.In digital recording the monitor screens must have a sufficiently high resolution to allow accurate assessment and evaluation of all recorded biosignals.3

    As mentioned above，the ongoing recording should be monitored by trained technical or nursing staff.(学会指导委员会)

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