Pre-Recorded

Panel Discussion

Sleep

The Sleep laboratory at night can be an underappreciated source of consternation. Sleep fellow trainees come from diverse specialty backgrounds and experience handling nighttime emergencies. During laboratory-based polysomnography, patients are monitored by technicians (not providers) with little if any training or experience in identifying and managing medical emergencies. This scenario is very different from a hospital ward with on-site providers (nursing, physicians). Fortunately, emergency events, such as cardiac arrest and generalized seizure, are exceedingly rare. However, other events, such as cardiac telemetry abnormalities, adverse medication reactions, and disorderly conduct, may lead to emergencies that require rapid intervention.

Delineate the types and risks of adverse events during nocturnal in-laboratory polysomnography.

Describe clinical variables that may increase the risk of medication-related adverse events during polysomnography.