Atlas of Sleep Medicine E-Book

Robert J. Thomas, Sudhansu Chokroverty

Description

Effectively diagnose and manage adult and pediatric sleep disorders with help from Atlas of Sleep Medicine, the most comprehensive and detailed source of pictorial and video guidance available. A full-color design with an entirely new image collection and video segments facilitates the observation and interpretation of sleep-related events and recordings. Whether you are preparing for the sleep medicine fellowship examination, or simply want to offer your patients today's best care, this sleep medicine book is an ideal resource!

• Consult this title on your favorite device, conduct rapid searches, and adjust font sizes for optimal readability.
• Confidently treat sleep-related breathing disorders with a practical step-by-step approach to positive pressure titration, summarizing merits, demerits, dangers, and limitations.
• Observe, evaluate, and treat unusual, uncommon, and often unrecognized PSG patterns.

• See how clinical and PSG findings correlate in real time for various sleep disorders by watching video segments (new to this edition!) that show sleep movements and polysomnography data side by side.
• Visually reinforce your understanding of circadian dysrhythmias through dynamic hypnograms and a tantalizing pictorial display.
• Evaluate indications and choose appropriate dental appliances with step-by-step instruction and supporting video clips.
• Address undesired phenomena that occur in association with sleep with eight new unique vignettes with associated videos including a variety of parasomnias, cataplexy, and death from obstructive sleep apnea.
• Access the fully searchable text online including the complete image library, over two dozen videos, and more at Expert Consult.

Sujets

• Médecine
• Spécialités médicales
• Santé et bien-être
• Bien-être émotionnel
• Bien-être émotionnel
• Health
• Sleep
• Fitness

Informations

• Publié par: Saunders
• Date de parution: 23 septembre 2013
• Nombre de lectures: 0
• EAN13: 9781455712687
• Langue: English
• Poids de l'ouvrage: 92 Mo

Extrait

Atlas of Sleep Medicine

SECOND EDITION

Sudhansu Chokroverty, MD, FRCP, FACP Professor and Co-Chair of Neurology Program Director, Clinical Neurophysiology and Sleep Medicine, New Jersey Neuroscience Institute at JFK Medical Center and Seton Hall University, Edison, New Jersey Clinical Professor of Neurology, Robert Wood Johnson Medical School, New Brunswick, New Jersey Robert J. Thomas, MD, MMSc Associate Professor of Medicine, Harvard Medical School, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Table of Contents

Cover image

Title page

Copyright

Dedication

Preface

Acknowledgments

Contributors

Chapter 1: Polysomnographic Recording Technique Patient Preparation And Laboratory Environment Respiratory Monitoring Technique

Measurement Of Airflow

Esophageal PH

Body Position Monitoring Snoring Monitoring Of Penile Tumescence

PSG Calibration

Ending The Test

Scoring Of Arousals

Indications For Polysomnography And Video-Polysomnography

Portable Monitoring

Digital Polysomnography

Artifacts During Polysomnographic Recording

Pitfalls Of Polysomnography

Chapter 2: Electroencephalography for the Sleep Specialist Method Of Electroencephalographic Recording Normal Waking And Sleep Electroencephalographic Rhythms In Adults

Abnormal Electroencephalographic Patterns

Recognition Of Epileptiform Patterns In The Polysomnographic Tracing

Electroencephalographic Signs Of Epilepsy

Nonepileptiform Patterns Mimicking Epileptiform Discharges

Epileptiform Patterns In Sleep

Diagnostic Approach To Patients With Suspected Nocturnal Seizures

Chapter 3: Sleep Stages and Scoring Technique Introduction To Sleep Stage Scoring Parameters For Staging Human Sleep

Electroencephalographic Activity During Wakefulness And Sleep

Stages Of Sleep Conclusion

Chapter 4: Sleep-Disordered Breathing and Scoring Current Considerations In The Scoring Of Respiratory Events

Chapter 5: Basic Circadian Rhythms and Circadian Sleep Disorders Circadian Rhythm Biology Circadian Rhythm Sleep Disorders

Chapter 6: Hypnogram Analysis

Chapter 7: Sleep-Related Movements and Scoring Techniques

Chapter 8: Cardiac Arrhythmias

Chapter 9: Uncommon, Atypical, and Often Unrecognized PSG Patterns

Chapter 10: Motor Disorders During Sleep

Chapter 11: Sleep and Epilepsy

Chapter 12: Sleep Dysfunction and Sleep-Disordered Breathing in Miscellaneous Neurological Disorders Regulation Of Sleep-Wake Cycles Control Of Breathing In Sleep And Wakefulness

Sleep-Disordered Breathing And Other Sleep Dysfunction In Neurological Diseases

Chapter 13: Neuroimaging Techniques

Normal Sleep

Obstructive Sleep Apnea Narcolepsy Restless Legs Syndrome And Periodic Limb Movements Parasomnias Insomnia Conclusion

Chapter 14: Specialized Techniques

Technique Of Multiple Sleep Latency Test

Indications For Multiple Sleep Latency Test

Reliability, Validity, And Limitation Of The Multiple Sleep Latency Test

Maintenance Of Wakefulness Test

Technique Of The MWT

Indications For The MWT

Indications For Actigraph

Advantages Of Actigraph Over Polysomnography

Disadvantages And Limitations Of Actigraph Recordings Definition Method Of Measurement Microarousal Recognition Using Pulse Transit Time (Figures 14C.2 And 14C.3) Respiratory Effort (Figures 14C.4, 14C.6, And 14C.7)

Limitations Of The Technique (Figure 14C.8)

False Pulse Transit Time Values (Figure 14C.9) Medication Pulse Transit Time As A Measure Of Respiratory Effort Under Noninvasive Ventilation (Figures 14C.10 And 14C.11) Conclusion Phasic Events Of Non–Rapid Eye Movement Sleep

Definition Of Cyclic Alternating Pattern

Definition Of Non–Cyclic Alternating Pattern

Cyclic Alternating Pattern And Nonrestorative Sleep

The Cyclic Alternating Pattern Phases And Sleep Disorders

Theoretical Principles

Summary Of Technology

Clinical Applications Conclusions

Chapter 15: Positive Pressure Titration Overview Recognition Of Strong Chemoreflex Influences On Sleep Respiration

Recognition Of The Role Of Rapid Eye Movement Sleep In Positive Pressure Titration

Recognition Of The Role Of Non–Rapid Eye Movement Sleep States In Titration

Responding To Periodic Motor Activation

Common Errors During Bilevel Titration

Bilevel Ventilation Practice Points

Adaptive Ventilation And Volume-Assured Ventilation

Titration With The Adaptive Ventilators

Carbon Dioxide Therapeutic Modulation: Positive Airway Pressure Gas Modulator And Enhanced Expiratory Rebreathing Space Nasal Resistance Valves And Internally Generated Expiratory Positive Pressure Therapy

Chapter 16: Oral Appliances and Surgical Techniques for Obstructive Sleep Apnea Syndrome Therapy

Oral Appliances

Upper Airway Surgery

Chapter 17: Pediatric Polysomnography Pediatric Polysomnography: General Considerations Standard And Custom Polysomnographic Montages

Normal Sleep In Infants

Normal Sleep In Children

Abnormal Polysomnographic Findings In Children

Electroencephalographic Abnormalities

Artifacts Unique To Pediatric Polysomnography

Vignette 1: Narcolepsy—Unequivocal Diagnosis After Split-Screen, Video- Polysomnographic Analysis of a Prolonged Cataplectic Attack

Vignette 2: Obstructive Sleep Apnea Associated With Cerebral Hypoxemia

Vignette 3: The Rapid Eye Movement Sleep Behavior Disorder Leading to a Subdural Hemorrhage

Vignette 4: Isolated Sleep Paralysis: An REM-“Sleep” Polysomnographic Phenomenon as Documented With Simultaneous Clinical and Electrophysiological Assessment

Vignette 5: Confusional Arousals

Vignette 6: Sleepwalking

Vignette 7: Hypnagogic Hallucination

Vignette 8: Sleep Terrors

Index

Copyrigdt

1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 ATLAS OF SLEEP MEDICINE ISBN: 978-1-4557-1267-0 Copyrigdt © 2014, 2005 by SaunDers, an imprint of Elsevier Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website:www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage

to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Cataloging-in-Publication ata Chokroverty, Sudhansu, author. Atlas of sleep medicine / Sudhansu Chokroverty, Robert J. Thomas. -- Second edition.  p. ; cm. Includes bibliographical references and index. ISBN 978-1-4557-1267-0 (hardback : alk. paper) I. Thomas, Robert J. (Professor of medicine), author. II. Title. [DNLM: 1. Sleep Disorders--diagnosis--Atlases. 2. Polysomnography--Atlases. WL 17] RC547 616.8’498--dc23 2013032574 Content Strategist:Helene Caprari Content Development Specialist:Maria Holman Publishing Services Manager:Anne Altepeter Senior Project Manager:Doug Turner Design Direction:Louis Forgione Printed in Canada Last digit is theprint number: 9 8 7 6 5 4 3 2 1

Dedication

To my wife, Manisha Chokroverty, MD, my love and gratitude for your lifelong support in my academic endeavors despite being left alone for days and weeks during the production of this and other books

SC To my wife, Shubha, who has developed the steel will to deal with my never-ending hyperdrive, and to my best friend, Sudha, who played a very important part in sculpting me into who I am today RJT