Recommended protocols for the Multiple Sleep Latency Test and Maintenance of Wakefulness Test in adults: guidance from the American Academy of Sleep Medicine.

This paper updates the American Academy of Sleep Medicine's (AASM) protocols for the administration of the Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT). The AASM commissioned a task force of clinical experts in sleep medicine to review published literature on the performance of these tests since the publication of the 2005 AASM practice parameter paper. Although no evidence-based changes to the protocols were warranted, the task force made several changes based on consensus. These changes included guidance on patient preparation, medication and substance use, sleep prior to testing, test scheduling, optimum test conditions, and documentation. This paper provides guidance to providers who order and administer the MSLT and MWT.