Related Experiment Video
Updated: Aug 5, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Objective:
This article reviews the growing field of inpatient sleep medicine, addressing the importance of inpatient sleep quality and the evaluation and treatment of sleep disorders during and shortly after hospitalization.
Latest Developments:
Sleep disruption and sleep disorders in the inpatient setting are associated with worse outcomes. Improving sleep quality and duration in the hospital and treating sleep disorders such as obstructive sleep apnea may improve in-hospital and short-term outcomes, such as mortality, stroke recurrence, and recovery. The 2025 American Academy of Sleep Medicine guidelines conditionally recommend the availability of inpatient sleep medicine services. Screening questionnaires can be used to prioritize objective testing for obstructive sleep apnea or empiric treatment in inpatients, but atypical symptoms in patients with stroke and congestive heart failure make them less sensitive. Objective screening tools such as high-resolution pulse oximetry may help prioritize resources but do not qualify patients for therapy such as CPAP; portable or in-laboratory sleep testing may be needed.
Essential Points:
Inpatient sleep medicine may be delivered by a multidisciplinary team based on available resources. Even if diagnosis or treatment cannot occur in the inpatient setting, recognizing sleep disorders during inpatient admissions increases the chances for successful outpatient treatment and can facilitate timely outpatient workup.
Related Concept Videos
Management of Insomnia
Sedatives and Hypnotics Drugs: Miscellaneous Agents
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Sedatives and Hypnotics: Overview
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
CNS Depressants: Barbiturates and Benzodiazepines
Insomnia
Multiple factors contribute...
Sleepwalking and Sleep Talking
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...