Should the practice of " prn " MSLT be abandoned? Is it a bad idea? < br / > < /span > <..."> Should the practice of " prn " MSLT be abandoned? Is it a bad idea? < br / > < /span > <..." /> Should the practice of " prn " MSLT be abandoned? Is it a bad idea? < br / > < /span > <..." />

prn MSLT ' s

A doctor asked on the AASM message board about prn (as needed) MSLT ' s. In his sleep medicine group, doctors sometimes order a nocturnal polysomnogram to evaluate for OSA, with instructions to the technicians to perform an MSLT if OSA is not found. < br / > < br / > < em > < span style= " color:#006600; " > Should the practice of " prn " MSLT be abandoned? Is it a bad idea? < br / > < /span > < /em > < br / > Here is my answer to the the doctor ' s question? < br / > < br / > yes and yes. < br / > < br / > If you think someone has narcolepsy/idiopathic hypersomnia it is reasonable to order a psg/MSLT with instructions that the MSLT be canceled if OSA is present (with the sleep physician being avaliable in the am to review the psg in borderline cases). < br / > I think it is unreasonable and puts too much responsibility on the techs to have them decide whether an MSLT is neeed on large numbers of patients being evaluated for OSA.
Source: sleepdoctor - Category: Sleep Medicine Tags: narcolepsy obstructive sleep apnea polysomnography Source Type: blogs