Sleepy or Sleepless: Clinical Approach to the Sleep Patient by Raman K. Malhotra

By Raman K. Malhotra

This concise textual content takes a symptom-based method of assessment and deal with sleep problems. Divided into sections, this e-book emphasizes sensible details within the sufferer historical past and actual, the newest screening thoughts and customary sleep problems that both reason sleepiness, insomnia, or stressed sleep. Chapters disguise the epidemiology, pathophysiology, prognosis and therapy of significant sleep problems and comprise new category structures from the International Classifications of Sleep problems, third Edition and the Diagnostic and Statistical handbook of psychological problems, 5th Edition (DSM-5). Sleepy or Sleepless offers an outstanding starting place to clinicians who are looking to higher overview sufferers with sleep-related complaints.

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Extra info for Sleepy or Sleepless: Clinical Approach to the Sleep Patient

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This is a 10-min epoch of a WatchPAT 200 sleep test in the testing of a 53-year-old gentleman with obstructive sleep apnea. The top channel is the peripheral arterial tonometry (PAT) signal, followed by the PAT amplitude, pulse rate, oxygen saturation, actigraphy, estimate sleep stage, body position, and snore channel. The epoch demonstrates frequent snoring with intermittent respiratory events (defined in part by the increased PAT signal) 2 Diagnostic Tools and Testing in the Sleepy Patient 23 Multiple Sleep Latency Test and Maintenance of Wakefulness Test Multiple Sleep Latency Test (MSLT) remains the gold standard test for objective assessment of EDS.

2 In-laboratory polysomnography. This is a 2-min epoch of in-laboratory polysomnography (Nihon Kohden) from a 55-year-old man with obstructive sleep apnea. The top six leads are EEG (right and left frontal, central, and occipital), followed by two eye leads (right and left), the chin lead, ECG with heart rate below (R-R), two leg leads (right and left), snore channel, oronasal thermistor, nasal pressure transducer, effort bands (thorax and abdomen), and oxygen associated. Two obstructive apneas are observed at the boxes in the NAF (nasal airflow) signal with absent nasal–oral airflow and continued respiratory effort.

Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328(17):1230–5. 18. Park JG, Ramar K, Olson EJ. Updates on definition, consequences, and management of obstructive sleep apnea. Mayo Clin Proc. 2011;86(6):549–54. 19. Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131(7):485–91. 20. Netzer NC, Stoohs RA, Netzer CM, et al.

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