Sleep Disorder Services


At the Sleep Institute of Florida, on the campus of West Boca Medical Center, our mission is to provide comprehensive high quality care. We offer state-of-the-art PSG/EEG/MSLT diagnostic tests. CPAP/Bi-level PAP titrations with a desensitization program is performed in a personalized and friendly environment. We routinely test carbon dioxide levels. We often test all-night esophageal pH to distinguish between central apneas caused by an immature central nervous system and those caused by gastroesophageal reflux.

Who will help my child with their sleeping disorder?
A highly trained pediatric sleep specialist on staff at West Boca Medical Center, in South Florida, will sit down with you and your child to discuss sleeping issues and will work, one on one, with you on a treatment plan. Our goal is to help your whole family have a better night's sleep.

How does a sleep study work?
A sleep test is neither painful nor dangerous - it is a procedure that monitors the patient's physiology during sleep and allows the sleep specialist to assess the parameters involved such as EEG (brain waves), ECG (heart rate), EMG (muscle activity), blood oxygen saturation levels, CO2 levels, snoring, and respiratory effort. The evening of your child's sleep study, you and your child will come and meet one of our highly trained technicians. Our South Florida facility is equipped with a television and a comfortable bed. During your child's sleep study, our technician will be in another room monitoring the entire time. Our mission is to have the entire sleep study be as comfortable as possible for you and your child.
 

Sleep Disorder Information

Untitled-14Not just adults, but millions of children suffer from sleeping disorders. Inadequate, disrupted, poor-quality, non restful, and at times elusive sleep constitute one of the most common complaints raised by parents to pediatricians and pediatric practitioners. In contrast, the relationship between insufficient or disturbed sleep and the many manifestations of sleepiness is less frequently recognized by parents, but is nonetheless a major contributor to mood, behavior, academic, and health problems in childhood. If your child has a sleep disorder not only does it affects them but the entire family as well.

Is Snoring Serious?
Researchers have found that 20% of normal children snore occasionally, and 7% to 10% of children snore every night. In many cases, children who snore are perfectly healthy. Still, about 2 % of children snore because they suffer from sleep or breathing problems. The AAP recommends screening for OSA in all children who snore. Snoring can be caused by enlarged tonsils or adenoids, and nasal congestion.

yawnIs Sleep Apnea Serious?
Sleep apnea is a sleeping disorder that pauses breathing during sleep. These pauses can wake up a child during sleep. It is thought to be due to a combination of structural, neuromotor and other factors. Structural factors result in upper airway narrowing; this may be due to adenotonsillar hypertrophy or craniofacial anomalies. Obesity increases the risk for OSA. Some symptoms are daytime sleepiness, hyper activity, behavior and academic problems, mouth breathing, morning headaches, and difficulty awakening in the morning.

Insomnia refers to difficulties with falling asleep or staying asleep, including the problem of waking too early in the morning. Symptoms of insomnia are prevalent in adolescents, and are associated with significant daytime consequences. If a child does not get enough sleep this can cause daytime sleepiness, inattention, mood disturbance problems with memory and concentration issues, & impaired performance in school.

Unlike nightmares, night terrors are more traumatic dreams where a child can wake up screaming, crying, shaking,and sweating. Sleep walking can last from 5 to 20 minutes. This usually happens early in sleep and can be caused by a child not getting enough sleep.

Lifestyle Change - If your sleep specialist thinks that obesity may be contributing to your child's OSAS, he or she may recommend weight loss by means of a combined diet, exercise, and behavioral program. One treatment for sleeping disorders in children could be simply a need to change to a steady sleep schedule for a child. Some children need behavior modification for the child and for the parent.
Surgery - In many children, enlarged tonsils and adenoids are the cause of OSAS and your doctor will recommend removing them. The surgical procedure is called adentonsillectomy. Other more specialized surgery may be recommended.
Other Treatments - Nasal continuous positive airway pressure (CPAP) is a small mask worn over the nose during sleep. The mask provides air pressure that keeps the throat from closing during sleep. This is very helpful for children when surgical treatment is not possible or desirable, or when surgery does not cure the OSAS.

OSAS
Obstructive sleep apnea (OSA) -- also called obstructive sleep apnea syndrome -- occurs when there are repeated episodes of complete or partial blockage of the upper airway during sleep. During a sleep apnea episode, the diaphragm and chest muscles work harder trying to open the airway. Breathing usually resumes with a loud gasp, snort, or body jerk. These episodes can interfere with sound sleep. They can also reduce the flow of oxygen to vital organs and cause irregularities in heart rhythm.

Adenoids
The adenoids are lumpy clusters of spongy tissue that help protect kids from getting sick. They sit high on each side of the throat behind the nose and the roof of the mouth.

Adentonsillectomy
The surgical removal of the adenoids and tonsils.

PSG
Polysomnography Test
The PSG test is an all-night sleep study. During the study, various physical functions are monitored and the results are recorded.

EEG
An electroencephalogram (EEG) is a test that measures and records the electrical activity of your brain. Special sensors (electrodes ) are attached to your head and hooked by wires to a computer. The computer records your brain's electrical activity on the screen or on paper as wavy lines.

MSLT
The Multiple Sleep Latency Test (MSLT) is a nap study. It is used to see how quickly you fall asleep in quiet situations during the day. The MSLT is the standard way to measure your level of daytime sleepiness.

Bi-level PAP
Bi-level PAP (Positive Airway Pressure) is similar to CPAP. It uses the same masks and hoses, and the machines look similar as well. With bilevel PAP, the pressure you breathe in is higher than the pressure when you exhale.

Titrations
During a titration study, the patient will sleep all wired up, just like a normal sleep study, but they will also wear a nasal mask which is connected to a CPAP machine. Since the pressurized air can be irritating to a nose that hasn't been used much at night, many sleep labs also connect the CPAP device to a heated humidifier during the titration procedure. This adds moisture to the air after it leaves the CPAP and before it enters the patient's nose, easing the drying effect of the pressurized air.

Gastroesophageal Reflux
Gastroesophageal Reflux occurs when the lower esophageal sphincter (LES) opens spontaneously, for varying periods of time, or does not close properly and stomach contents rise up into the esophagus. GER is also called acid reflux or acid regurgitation, because digestive juices (called acids) rise up with the food. The esophagus is the tube that carries food from the mouth to the stomach. The LES is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and stomach.

AAP
American Academy of Pediatrics.

OSA
see OSAS.

Neuromotor
Pertaining to the effects of nerve impulses on muscles.

Craniofacial Anomalies
The word craniofacial is derived from the word cranio, referring to the skull or cranium, and facial, referring to the face. Anomaly is the a medical term meaning "irregularity" or "different from normal." Craniofacial anomalies (CFA) are a group of deformities involving the growth of the head and facial bones. These anomalies are congenital (present at birth) and vary in type and severity.

The Sleep Institute of Florida
9980 Central Park Blvd Suite 206
Boca Raton, FL. 33428
561-558-1212