Fundamentals of Sleep Medicine 1st edition by Richard Berry – Ebook PDF Instant Download/Delivery: 0323245357 , 9780323245357
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ISBN 10: 0323245357
ISBN 13: 9780323245357
Author: Richard Berry
From the author of the popular, Sleep Medicine Pearls, Dr. Berry’s Fundamentals of Sleep Medicine is a quick read and essential resource that is rich in figures and tables, and includes multiple review questions for each chapter. This book is a concise, clinically focused alternative to larger sleep medicine references and a must-have in every physician’s personal library. Examples of AASM scoring criteria are provided as well as related video content.
Fundamentals of Sleep Medicine 1st Table of contents:
Chapter 1: Sleep Stages and Basic Sleep Monitoring
Eeg Electrode Placement
Eog Monitoring for Sleep
Chapter 2: The Technology of Sleep Monitoring: Differential Amplifiers, Digital Polysomnography, and Filters
Referential and Bipolar Recording
Filters (Low-Frequency, High-Frequency, and Notch Filters)
Amplifier Filter Settings for Digital Sleep Recording
Digitial PSG System Overview
Chapter 3: Sleep Staging in Adults
Scoring by Epochs
Transitions between Definite Stage N2 and Stage R
Epochs with a Mixture of SSs/KCs and REMs
Transitions Between Stage N1 and Stage R (FAQ V7 AASM Scoring Rules)
Effects of Arousals and MBMs: Stage N2 Versus Stage R Rules
Major Body Movements
Chapter 4: Biocalibration, Artifacts, and Common Variants of Sleep
Calibrations and Biocalibrations
Artifacts
Common Variants Seen During Sleep Monitoring
Chapter 5: Sleep Staging in Infants and Children
Bipolar Electroencephogram Recording
Sleep in the Premature Infant and Infants Younger Than 48 Weeks CA
Scoring Sleep in Infants Older Than 48 Weeks CA and Children
Chapter 6: Sleep Architecture Parameters, Normal Sleep, and Sleep Loss
Normal Sleep in Adults
Changes in Sleep Architecture with Aging (Adults)
Alternations in REM Latency
Comparison of Sleep Staging Between the Aasm Scoring Manual and Rechtschaffen and Kales
Normal Sleep in Infants and Children
Arousals
Sleep Fragmentation
Chapter 7: Neurobiology of Sleep
Major Brain Areas Important for Sleep and Wake
Control of Nrem Sleep
Features of Rem Sleep
Chapter 8: Monitoring Respiration—Technology and Techniques
Techniques to Measure Airflow or Tidal Volume
Measuring Respiratory Effort
Measuring SaO2
Pulse Oximetry
SpO2 and Sleep Monitoring
Measurement of PaCO2 During Sleep
PETCO2
TcPCO2 Monitoring
Accuracy of PETCO2 and TcPCO2
Snoring Sensors
Chapter 9: Monitoring Respiration—Event Definitions and Examples
Respiratory Events in Adults
Respiratory Event Scoring Rules in Children
Chapter 10: Sleep and Respiratory Physiology
Arterial Blood Gases
Oxygen Transport and Saturation
Determinants of PaCO2
Normal Changes in Ventilation During Sleep
Tests of Ventilatory Control
Acid-Base Physiology
Pulmonary Function Testing
Obesity
Muscle Strength
Appendix 10-1 Severity Criteria for Pulmonary Function Testing
Chapter 11: Cardiac Monitoring during Polysomnography
ECG Recording during Polysomnography
Sinus Rhythm and Normative Data for Heart Rate
Conduction System
Bradycardia and AV Block during Sleep
Tachycardias during Sleep
Adverse Events during PSG
Pacemakers and Wide-Complex QRS
Chapter 12: Monitoring of Limb Movements and Other Movements during Sleep
Limb Monitoring Techniques
Criteria for LMs and PLMs
LMs Associated with Respiratory Events Are Not Scored
Association of Arousals with PLM
Periodic Limb Movements in Sleep
Periodic Limb Movements in Wake
Suggested Immobilization Test
Clinical Significance of PLMS
Other LMs during Sleep
Alternating Leg Muscle Activation
Hypnagogic Foot Tremor
Excessive Fragmentary Myoclonus
Bruxism
Rhythmic Movements and the Sleep-Related Rhythmic Movement Disorder
RBD: Scoring PSG Features
Chapter 13: Polysomnography, Portable Monitoring, and Actigraphy
Polysomnography
Portable Monitoring (home sleep testing, out of center sleep testing)
Actigraphy
Appendix 13-1 AASM Practice Parameters for Polysomnography (Selected Statements)
Appendix 13-2 Clinical Guidelines for the Use of Unattended Portable Monitors in the Diagnosis of Obstructive Sleep Apnea in Adult Patients
Appendix 13-3 First Coast Services Durable Medical Area Contractor (DMAC Region I)
Chapter 14: Subjective and Objective Measures of Daytime Sleepiness
Subjective Measures
Objective Measures
Appendix 14-1 Federal Aviation Administration Policy Concerning Fitness to Fly in Sleep Apnea Patients
Chapter 15: Obstructive Sleep Apnea Syndromes: Definitions, Epidemiology, Diagnosis, and Variants
History And Definitions
Epidemiology Of Osa
Diagnosis Of Osa
Variants Of Snoring And Osa
Pediatric Osa
Appendix 15-1 Berlin Questionnaire
Appendix 15-2 STOP-BANG Scoring Model
Chapter 16: Pathophysiology of Obstructive Sleep Apnea
Pathogenesis of Upper Airway Obstruction
Lung Volume Effects
Ventilatory Control and OSA
Stage R Effects
Gender and OSA
Mechanisms of Apnea Termination and Arousal
Upper Airway Sensation
Arterial Oxygen Desaturation
Chapter 17: Consequences of Obstructive Sleep Apnea and the Benefits of Treatment
Pathophysiology
Mortality
Excessive Daytime Sleepiness and Neurocognitive Dysfunction
Automobile Accidents and Sleep Apnea
Arterial Hypertension
Pulmonary Hypertension
Arrhythmias
Coronary Artery Disease
Atherosclerosis and Thrombosis
Congestive Heart Failure
Cerebrovascular Accidents and OSA
Erectile Dysfunction
Diabetes
Nocturia
Consequences of Childhood OSA
Chapter 18: Obstructive Sleep Apnea Treatment Overview and Medical Treatments
Introduction
Should Mild OSA Patients Be Treated?
Whom to Treat
Treatment Selection
Patient Education Before Treatment
Follow-Up and Outcomes Assessment
Medical Treatments for OSA
Chapter 19: Positive Airway Pressure Treatment
Mechanism of Action
Effectiveness
Modes of PAP
Volume-Targeted BPAP
Comfort Measures
Indications for PAP Treatment
Adherence—Definitions and Measurement
CPAP/BPAP Titration for OSA
Alternative Methods of Starting PAP Treatment
Appendix 19-1 Practice Parameters for APAP and CPAP/BPAP (Selected Recommendations)
Appendix 19-2 The details of local carrier determinations can vary by region and are frequently updated.
Appendix 19-3 Medicare Criteria for Reimbursement for Respiratory-Assist Devices
Chapter 20: Oral Appliance and Surgical Treatment for Obstructive Sleep Apnea
Oral Appliance Treatment for OSA
Surgical Treatments for OSA
Surgery for Pediatric OSA
Appendix 20-1 Summary of AASM Practice Parameters for the Use of Oral Appliances for Treatment of Snoring and Obstructive Sleep Apnea
Appendix 20-2 Excerpts from Local Coverage Determination for Oral Appliances for Obstructive Sleep Apnea (L28606)
Appendix 20-3 Summary of Practice Parameters for Surgical Treatment of Obstructive Sleep Apnea in Adults
Chapter 21: Central Sleep Apnea and Hypoventilation Syndromes
Classification of Csa Syndromes
Pathophysiology of Csa
Hypocapnic Csa Syndromes
Csb with Csa
Complex Sleep Apnea
High-Altitude Periodic Breathing
Hypercapnic Csa and hypoventilation syndromes not due to lung disease
Appendix 21–1 Sleep-Related Hypoventilation Syndromes—Diagnostic Criteria
Chapter 22: Sleep and Obstructive Lung Disease
Obstructive Ventilatory Dysfunction
Chronic Obstructive Pulmonary Disease
Asthma
Chapter 23: The Restless Leg Syndrome, Periodic Limb Movements in Sleep, and the Periodic Limb Movement Disorder
Restless Legs Syndrome
Periodic Limb Movements in Sleep
Periodic Limb Movement Disorder
Treatment of RLS and PLMD
Chapter 24: Hypersomnias of Central Origin
Narcolepsy Syndromes
Cataplexy: N+C
Diagnostic Testing for Narcolepsy
Treatment of Narcolepsy
Narcolepsy Due to Medical Condition
Idiopathic Hypersomnia
Chapter 25: Insomnia
Prevalence of Insomnia and Risk Factors
Insomnia Subtypes
Evaluation of Insomnia Complaints
Physiologic Findings in Primary Insomnia
Individual Insomnia Subtypes
Treatment of Insomnia
Appendix 25-1 Dysfunctional Beliefs and Attitudes about Sleep Worksheet
Chapter 26: Circadian Rhythm Sleep Disorders
Melatonin
The SCN and Sleep-Wake Cycle
Markers of Circadian Phase
Shifting the Circadian Rhythms
Genomics of CRSD
Circadian Rhythm Sleep Disorders
Chapter 27: Clinical Electroencephalography and Nocturnal Epilepsy
Electroencephalographic Monitoring
Bipolar Monitoring and Standard Montages
Waveform and Seizure Terminology
Phase Reversal
Localization in Referential and PSG Montages
Normal Sleep Waveforms in the 10-Second Window
Ictal Activity
Classification of Seizures and Terminology
Temporal Lobe Epilepsy
Nocturnal Frontal Lobe Epilepsy
Generalized Epilepsy Syndromes with Nocturnal Seizures
Ictal Effects on Sleep
Antiepileptic Drugs—Effects on Sleep
Epilepsy and Obstructive Sleep Apnea
Chapter 28: Parasomnias
Nrem Parasomnias
Parasomnias Usually Associated With Rem Sleep (Stage R)
Other Parasomnias
Other Nocturnal Behaviors In The Differential Diagnosis Of Parasomnia
The Differential Diagnosis Of Parasomnias
Chapter 29: Psychiatry and Sleep
Mood Disorders
Anxiety Disorders
Appendix 29-1 Patient Health Questionnaire (PHQ-9)
Chapter 30: Sleep and Nonrespiratory Physiology—Impact on Selected Medical Disorders
Endocrine Physiology and Sleep
Growth Hormone
Sleep and the Corticotropic Axis
Sleep and the Thyroid Axis
Sleep and Prolactin Secretion
Sleep and the Gonadal Axis
Leptin and Ghrelin
Obesity and Sleep Duration
Sleep and Glucose Tolerance
Sleep and Gastrointestinal Physiology and Disorders
Sleep and Rheumatology
Sleep and Renal
Chapter 31: Sleep and Neurologic Disorders
Sleep and Neurodegenerative Disorders
Appendix 31-1 Medications Used to Treat Alzheimer’s Disease
Glossary
Index
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