Table 5– Diagnostic tools for the evaluation of obstructive sleep apnoea syndrome
Levels of sleep monitoringType of monitoring device and settingParameters measured
Level 1Attended in-lab polysomnographyPolysomnography including electroencephalogram, electromyogram, electrocardiogram or heart rate, airflow, respiratory effort, and oxygen saturation
Additional externally assessed parameters can be included (e.g. blood pressure, oesophageal pressure, transcutaneous CO2 and video surveillance)
Investigation performed in the sleep lab under continuous supervision
Level 2Unattended polysomnography in the hospital/sleep unit or at homePolysomnography including electroencephalogram, electromyogram, electrocardiogram or heart rate, airflow, respiratory effort, and oxygen saturation
Investigation performed without any supervision
Level 3Polygraphic limited channel recording, mainly modified portable sleep apnoea monitoringMinimum of four channels including ventilation or airflow (at least two channels to detect respiratory movements or respiratory effort and airflow, heart rate or electrocardiography, and oxygen saturation)
Level 4Single or two channel deviceOne or two channels, typically including oxygen saturation or airflow