Setting the Platinum Standard in Sleep Disorders Medicine.™
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Comprehensive Sleep Medicine Associates, PA (CSMA) Mission Statement:

Our mission is to provide a comprehensive approach for high-quality-care of our patients, ranging from newborns to the elderly.
CSMA sets the Platinum Standard in providing care to our patients with sleep disorders. We utilize diagnostic testing in a variety of settings; from home, hospital or in the laboratory, with procedures that are above and beyond industry standards. This is critical in establishing the proper diagnosis in the most difficult patients.
We are committed to maintaining excellence, respect, and integrity in all aspects of our operations with patients and with health care professionals.

Frequently Asked Questions:


Q - What is the PES?

A – The PES is a method of measuring the effort of breathing. It stands
for Pressure in the Esophagus and it measures exactly that, the
pressure in the esophagus. As a person increases the effort of
breathing there is a corresponding increase in the vacuum created
within the chest (negative pressure) and this is measured by a
catheter in the esophagus. This is the most reliable method of
measuring the effort of breathing during sleep. Disorders such as the
Upper Airway Resistance Syndrome in many patients can only be
accurately diagnosed with the PES.

QWhy would a patient need the PES?

A – Some patients have breathing problems that are not accurately
detected using the standard methods of sleep testing. Using the PES
provides a more accurate method of breathing measurement and it is sometimes
necessary in order to establish a proper diagnosis.

See a video of pediatric PES here: Pediatric PES placement

QWhat is Video EEG monitoring?

A – Video EEG monitoring is an extended type of EEG (brain wave
measurement), with about 16 EEG electrodes placed on the scalp. This
provides a more detailed assessment of brain wave activity and is
needed to properly assess the brain waves when there is a concern of
possible seizures. Routine sleep testing does not provide enough EEG
channels to properly evaluate for seizure events.

QWhat is Board Certification in Sleep Medicine?

A – In order to demonstrate proper training in Sleep Medicine a
physician should take the Sleep Board exam. Many doctors who are
providing sleep testing services to patients are NOT board certified
as sleep specialists.



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