1st Edition
Making Sense of Sleep Medicine A Hands-On Guide
This is a practical and patient-complaint focused handbook, directed to motivate non-sleep experts and beginners in sleep medicine and technology. This book provides a basic review of the area of sleep, identifies some common patient presentations and illustrates the types of investigations that should be requested. With sleep and breathing problems being so common and affecting many other chronic clinical conditions, it is important that primary care and other general physicians as well as allied health practitioners have a greater appreciation of this area. This text is a valuable “go-to” handbook for the occasional “sleep” practitioner to refer to.
Key Features:
• Contains specially packaged with Specific Learning Objectives to each chapter followed by self-assessment questions, case scenarios, basic sleep monitoring techniques in detail with sample reports.
• Provides direction to health care professionals who encounter patients with sleep and breathing disorders in their practice.
• Uses algorithms and concept maps for dealing with specific symptoms.
Preface
About the Editors
Contributors
PART 1. BASICS FIRST
1. Basic Physiology of Sleep
Karuna Datta
2. Physiology of Circadian Rhythm
Karuna Datta
3. Physiological Changes during Sleep
Karuna Datta
4. Respiratory Physiology: Simple Science of CPAP and PAP Devices Explained
Deepak Shrivastava, and Ajitpal Sethi
5. Drugs That Affect Sleep
Deepak Shrivastava
PART 2. WHAT DOES ONE DO IF THE PATIENT COMPLAINS OF SLEEP PROBLEMS?
6. Does the Patient Go to Bed on Time at Night and Can’t Sleep?
Karuna Datta
7. Does the Patient Snore? Does the Patient Stop Breathing at Times during Sleep?
Deepak Shrivastava, and Richa Shrivastava
8. Does the Patient Have Excessive Daytime Sleepiness?
Deepak Shrivastava
9. Does the Patient Have Abnormal Movements at Night?
Deepak Shrivastava
10. Does the Patient have Pain, Headaches, High Blood Pressure, Diabetes, Stroke, Ventilation or Cardiac Disorders, or Other Problems?
Karuna Datta
11. Is There a Complaint of Depression, Anxiety, Stress, etc.?
Deepak Shrivastava
12. Is the Patient a Child? Is the Patient Pregnant? Other Special Cases
Deepak Shrivastava
13. Is the Patient Not Sleeping on Time?
Karuna Datta
14. Broad Approach to Common Case Scenarios with Complaints of Sleep
Karuna Datta
PART 3. HOW DO I INVESTIGATE THE PATIENT? (ASSESSMENT AND MONITORING)
15. Basic Structure of Sleep Interview
Deepak Shrivastava, and Richa Shrivastava
16. Questionnaires
Karuna Datta
17. Use of a Sleep Diary
Karuna Datta
18. Actigraphy: Indications, Procedure Do’s and Don’ts, Sample Report
Karuna Datta and Thomas Joseph
19. Home Sleep Apnea Testing
Deepak Shrivastava
20. Polysomnography I: Detail with Indications, Hookup Procedure, Do’s and Don’ts
Karuna Datta
21. Polysomnography II: Sample Reports with Explanation of Various Terminologies
Deepak Shrivastava
PART 4. WHAT SHOULD I DO NOW? (MANAGEMENT)
22. Sleep Hygiene Principles and Nonpharmacological Interventions including Light Therapy
Karuna Datta
23. Identifying the Need for Counselling
Karuna Datta
24. Pharmacological Agents Used in Various Sleep Disorders
Deepak Shrivastava
25. Simple Positional Devices, Dental Appliances
Deepak Shrivastava, Ajitpal Sethi, and Richa Shrivastava
26. Titration Protocols, Continuous Positive Airway Pressure (CPAP), and Other PAP Devices
Deepak Shrivastava, and Ajitpal Sethi
PART 5. SELF-ASSESSMENT
27. Chapter-Based Assessment
Karuna Datta, and Deepak Shrivastava
Index
Biography
Dr Karuna Datta, MD, PhD, FAIMER (GSMC-2009), International Sleep Medicine Certification (World Sleep Federation-2012) is Professor in the Department of Sports Medicine at Armed Forces Medical College, Pune, Maharashtra, India. She presently is a principal investigator of Govt of India funded project in ‘yoga nidra and cognition’ and continues her tryst with yoga nidra.
Dr Deepak Shrivastava, MD, FAASM, FCCP, FACP, RPSGT is Professor of Internal Medicine, Sleep Medicine, Pulmonary and Critical Care at UC Davis School of Medicine and a faculty at UC Davis affiliated SJGH, a major trauma center. He is a senior faculty at Sleep Medicine Fellowship Program at UC Davis. He is an Adjunct Professor of Pharmacy at University of Pacific, School of Pharmacy and Assistant Professor of Medicine at St. George’s School of Medicine. He is an Assistant Professor of Medicine at School of Osteopathic Medicine in Vallejo, California. He is an Associate Medical Director for a California Managed Care Organization.
