How is airflow monitored in polysomnography (PSG)?

Updated: Apr 29, 2020
  • Author: Carmel Armon, MD, MSc, MHS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Two channels are used for monitoring airflow. One thermistor channel (oral and/or nasal) is used to evaluate the presence or absence of airflow. Any change in temperature as a patient inhales and exhales leads to a normal signal, so this channel is insensitive for partial flow obstruction. Thermistor is the recommended channel for evaluation of apneas. Nasal pressure transducer channel is a more sensitive measure of airflow restriction. Normal breathing has a rounded pattern, while resistance to airflow leads to a squaring off of the flow signal. Pressure transducer is the recommended channel for evaluating hypopneas. It is also used for airflow resistance in upper airway resistance syndrome.


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