Partial update of the German S3 Guideline Sleep-Related Breathing Disorders in Adults

The table shows the function to be investigated, the associated biosignals, and the required technique as well as its technical specifications in relation to the optimal sampling rate and filter settings Function Parameter Technique Optimal sampling rate (Hz) Filter (Hz) Sleep EEG, EOG Electrodes 500 0.3–35 EMG Electrodes 500 10–100 Breathing Respiratory flow Nasal pressure, thermistor 100 0.1–15 Respiratory effort Inductance plethysmography 100 0.1–15 Oxygen saturation SaO2 25 – Carbon dioxide tcPaCO2 25 – Snoring Microphone 500 – Cardiac ECG Electrodes 500 0.3–70 Movement Tibial muscle EMG Electrodes 500 10–100 Body position Position sensor 1 – Video Video camera 5 – EEG electroencephalogram, EOG electrooculogram, EMG electromyogram, ECG electrocardiogram, SaO2 oxygen saturation, tcPaCO2 transcutaneous measurement of partial pressure of carbon dioxide Sleep stage classification largely corresponds to the older classification by Rechtschaffen und Kales [5, 6]. Esophageal pressure measurement is the reference method to determine increased respiratory effort in the case of obstruction and to differentiate obstructive from central respiratory disorders. The method most widely used to this end is transcutaneous measurement of the partial pressure of carbon dioxide (tcPaCO2) [12]. [...]there is a defined further training program on the diagnosis and treatment of sleep-related breathing disorders (SRBD) according to the Fifth Book of the German Social Code.