Comprehensive Sleep Disorder Treatment at the UCLA Sleep Clinic

Sleep disorders can significantly impact your quality of life, affecting everything from your daily energy levels to your long-term health. The UCLA Sleep Disorders Center offers a comprehensive range of services for both children and adults, addressing various sleep-related conditions with expertise and advanced technology. As a recognized leader in sleep medicine and sleep research, the UCLA Sleep Disorders Center features the largest group of clinical sleep researchers in the United States.

Why Choose UCLA Health for Sleep Disorders Treatment?

UCLA Health stands out for its comprehensive, team-based approach to diagnosing and treating sleep disorders. The UCLA Sleep Disorders Center has been diagnosing and managing sleep disturbances for decades. Here's why UCLA Health is a preferred choice for sleep disorder treatment:

  • Experience and Expertise: With decades of experience in diagnosing and managing sleep disturbances, UCLA Health is a recognized leader in sleep medicine and sleep research. The UCLA Sleep Disorders Center features the largest group of clinical sleep researchers in the United States.
  • Comprehensive, Team-Based Care: A multidisciplinary team of experts, including specialists in neurology, pulmonology, psychiatry, pediatric sleep disorders, otolaryngology, dentistry, bariatrics, and nutrition, collaborates to provide holistic care. Physicians who are board certified in sleep medicine and registered polysomnographic technologists evaluate and diagnose a range of sleep disorders.
  • Modern Sleep Lab: The state-of-the-art sleep lab has advanced equipment in 11 single-patient accommodations. These tranquil spaces mimic the comforts of a hotel room, making overnight sleep studies inviting. The lab also provides kid-friendly accommodations and a shared lounge, featuring an elegant space for patients and families.
  • National Accreditation: The center has achieved continuous accreditation by the American Academy of Sleep Medicine, ensuring the highest standards of care.

Areas of Care at UCLA Sleep Clinic

UCLA Health offers a variety of specialized services to address different aspects of sleep disorders. These services include outpatient consultations, specialized pulmonary care, pediatric sleep clinics, and comprehensive sleep studies.

Sleep Disorders Clinic

The Sleep Disorders Clinic offers outpatient consultations to new and returning patients. During these consultations, sleep medicine specialists discuss your medical history and current challenges and conduct a physical exam. Your specialist recommends treatment options, including a sleep study near you, if needed. After a sleep study, you return to the clinic to discuss the results with a sleep specialist. To make an appointment with the Sleep Disorders Clinic, you must have a physician referral to neurology.

Pulmonary Santa Monica Sleep Clinic

The Pulmonary Santa Monica Sleep Clinic provides specialized treatment and support for patients with respiratory problems affecting sleep. Pulmonologists offer specialized treatment and support for patients who have respiratory problems affecting sleep. You may be a candidate for this clinic if you have:

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  • Home ventilatory therapy
  • Obesity hypoventilation syndrome
  • Obstructive or central sleep apnea

At Santa Monica Sleep Disorders Center, they are in-network with many major PPO plans and are Medicare providers.

Pediatric Sleep Clinics

The UCLA Health pediatric pulmonology team evaluates and manages pediatric respiratory disorders. Children may receive treatment through the sleep clinics for:

  • Asthma
  • Chronic coughing or wheezing
  • Chronic lung disease
  • Cystic fibrosis
  • Interstitial lung disease
  • Sleep apnea
  • Valley fever

The UCLA Division of Pediatric Pulmonology provides comprehensive evaluation and management for all pediatric patients with respiratory disorders, including chronic/recurrent cough or wheezing, asthma, pneumonia, Valley fever, apnea, chronic lung disease and interstitial lung disease. They also provide multidisciplinary cystic fibrosis and home ventilator programs.

Sleep Disorders Laboratory

The Sleep Disorders Laboratory conducts overnight sleep studies to diagnose and manage a spectrum of sleep disorders. Specialists in the laboratory conduct overnight sleep studies to diagnose and manage a spectrum of sleep disorders. The facility contains 11 private bedrooms and includes pediatric-friendly accommodations. It is accredited by the American Academy of Sleep Medicine and performs sleep studies seven days a week. You must have a physician referral to schedule a sleep study with the laboratory.

Sleep Disorders Treated at UCLA Health

UCLA Health specialists diagnose and treat a wide range of sleep-related conditions, ensuring that patients receive tailored care for their specific needs. The sleep disorders they treat include:

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  • Excessive Daytime Sleepiness (Hypersomnia): A condition in which a person constantly falls asleep during the day, often while talking or eating.
  • Insomnia: Persistent difficulty falling or staying asleep.
  • Jet Lag Syndrome: A sleep disorder affecting people who often travel across multiple time zones.
  • Narcolepsy: A sleep disorder that causes excessive drowsiness and sporadic sleeping.
  • Obstructive Sleep Apnea: Partial or complete airway blockages during sleep.
  • Parasomnia: Unwanted or unusual physical experiences during sleep, such as sleep talking, sleepwalking, sleep paralysis, or night terrors.
  • Restless Legs Syndrome: A neurological disorder that causes an irresistible urge to move the legs, often in the evening.
  • Shift Work Sleep Disorder: A sleep disorder affecting those who work nontraditional hours, such as overnight shift workers.
  • Snoring: Noisy breathing during sleep, often caused by partially blocked airflow.

Sleep Studies Offered at UCLA Health

UCLA Health offers a variety of overnight sleep studies through the Sleep Disorders Laboratory to accurately diagnose and manage sleep disorders. The sleep studies offered include:

  • Nocturnal Polysomnogram (NPSG): This is the standard overnight sleep study to assess sleep disorders, including sleep apnea, periodic limb movement disorders, insomnia, and 24-hour sleep-wake cycle disruptions. We measure all physiological functions during sleep, including breathing, brain wave activity, heart rate, muscle movement, oxygen saturation, and snoring. The study includes various physiological measurements such as respiratory effort and airflow, EEG (brain waves), EKG (Heart), EMG (muscle movement), oxygen saturations, and snoring.
  • Expanded Electroencephalogram (EEG) Sleep Recording: We perform an NPSG along with an EEG, a test that measures brain activity. We may use this test if we suspect a patient has seizures at nighttime. An NPSG performed with a full EEG montage during recording.
  • Multiple Sleep Latency Test (MSLT): This daytime test measures how sleepy a patient is after a full night of sleep. We use it after an overnight NPSG. We may use this test to diagnose narcolepsy or other forms of excessive daytime sleepiness. A study performed during the day after a full diagnostic NPSG, this study is used to objectively determine a patient's level of sleepiness after a night's sleep. The MSLT is a series of five timed tests, two hours apart, during which we look to see whether a patient falls asleep, how quickly, and to what stage of sleep the patient reaches.
  • NPSG with End Tidal CO2: This is a modified NPSG where we also measure the level of CO2 (carbon dioxide) at the end of each exhale. This test helps us detect conditions such as obesity hypoventilation. We also often use this test to diagnose sleep disorders in children. A modified NPSG utilizing end tidal CO2 monitoring. This is a useful addition to the airway recording to assist in the detection of obesity hypoventilation and hypercapnia, or CO2 retention.
  • REM (Rapid Eye Movement) Sleep Behavior Disorder: During this modified NPSG, we attach small, metal discs (electrodes) to the patient’s arms and legs. These electrodes measure muscle activity during REM sleep to diagnose conditions that cause people to act out their dreams. A modified NPSG with electrodes added to the arms (in addition to the legs) to determine the presence of movement during REM, a stage of sleep during which the muscles are immobile.
  • Continuous Positive Airway Pressure (CPAP) or Bi-Level Positive Airway Pressure (BiPAP) Titration: CPAP and BiPAP are common treatments for sleep apnea. With this study, we evaluate what pressure levels most effectively treat apnea in individual patients. A therapeutic study used to treat obstructive sleep apnea syndrome (OSAS). An alternate therapeutic study used to treat patients who require higher pressures than CPAP allows or for those who are intolerant of CPAP. Pressures are explored on the inhalation and an alternate pressure on exhalation.
  • Split Night Study: This two-part study involves a two- to four-hour diagnostic test with a therapeutic test. If the diagnostic test indicates a possibility of sleep apnea, we may have patients use a CPAP machine the same night. We measure the patient’s response to the CPAP machine to determine if it would be effective treatment. A sleep study which combines a 2 - 4 hour diagnostic test and a therapeutic test in the same night. This study is possible for every adult so that patients with severe OSAS may be treated immediately. If a patient is not "split" to Continuous Positive Airway Pressure (CPAP) then the study is run as an NPSG.
  • Maintenance of Wakefulness Test (MWT): We measure whether a patient can stay awake in a sleep-induced environment. We often use this test to evaluate how well a treatment is working. A study performed to determine whether a patient is able to remain awake in a sleep-induced environment.

Treatments for Sleep Disorders at UCLA Health

UCLA Health offers a range of treatments tailored to the individual's specific sleep disorder, medical history, and symptoms. The approach is multidisciplinary, involving a team of experts who focus on both sleep and overall health. Treatments may include:

  • Devices: Devices to help you breathe at night, such as an oral appliance that opens airways or a CPAP machine that delivers a steady flow of air.
  • Medications: Medications to help you sleep, control anxiety, or treat health conditions that may disrupt your sleep.
  • Therapy: Therapy, such as cognitive behavioral therapy (CBT) to help relax your mind and body so you can rest.

The UCLA Sleep Center is currently contracted with most PPO insurances to provide durable medical equipment, such as CPAP, Bilevel, and AVAPS devices for use in the home.

The Expert Sleep Medicine Team

The sleep medicine team at UCLA Health includes a range of subspecialists who diagnose, evaluate, and treat all types of sleep disorders in adults and children. The team's comprehensive approach ensures that patients receive the best possible care, tailored to their unique needs.

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