This text provides a thorough understanding of the use of
polysomnography and other technologies in the evaluation and
management of sleep disorders. Coverage includes in-depth reviews of
the neurophysiology and cardiopulmonary aspects of sleep and the
pathophysiology of sleep disorders. Detailed sections on
polysomnography include recording procedures, identifying and scoring
sleep stages and sleep-related events, and report generation.
Chapters discuss therapeutic interventions including positive airway
pressure, supplemental oxygen, surgical and pharmacologic treatments,
and patient education. A section focuses on pediatric sleep disorders
and polysomnography. Also included are chapters on establishing and
managing a sleep center and accrediting a sleep program.
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OVERVIEW OF SLEEP MEDICINE: The Evolution of Polysomnographic
Technology / The Scope of Modern Sleep Medicine
PHYSIOLOGY OF NORMAL SLEEP: Neurophysiologic Basis of Sleep and
Wakefulness / Normal Patterns and Phenomena of Sleep, Arousal, and
Wakefulness / Sleep Deprivation / Sleep Across the Life Cycle / Sleep
and Aging / Sleep in Women / Circadian Rhythms
CARDIOPULMONARY ASPECTS OF SLEEP: The Airway and Mechanics of
Breathing / Breathing Control Mechanisms / Gas Exchange and
Transport / Normal Cardiac Physiology (Including Electrophysiology)
SLEEP DISORDERS: Obstructive Sleep Apnea / Central Sleep Apnea /
Circadian Rhythm Sleep Disorders / Periodic Leg Movements of Sleep /
Restless Legs Syndrome / Narcolepsy / Parasomnias / Insomnia / Sleep
and Medical Disorders / Cardiopulmonary Disorders Affecting Sleep in
the Elderly / Sleep Disorders and Degenerative Neurologic Disorders /
Sleep Disorders and Vascular Disorders / Psychiatric Disorders That
Affect Sleep
PREPARATION FOR POLYSOMNOGRAPHY: Patient Interviewing / Assessment
and Accommodation for Special Needs / Patient Preparation
POLYSOMNOGRAPHIC RECORDING PROCEDURES: Fundamentals of
Electroencephalography and Other Biopotentials / Polysomnography
Recording Systems / Principles of Recording Biopotentials
RECOGNIZING AND SCORING RECORDED EVENTS: Sleep Stages and Sleep
Architecture / Noninvasive Monitoring of Gas Exchange During Sleep /
Sleep-Disordered Breathing / Cardiac Arrhythmias / Report
Generation / Recording Quality and Artifacts / Motor Events /
Nocturnal Seizures / Pharmacologic Effects on the Polysomnogram
EVALUATION OF HYPERSOMNIA: Multiple Sleep Latency Test and
Maintenance of Wakefulness Test / Wrist Actigraphy / Subjective
Evaluation of Sleepiness
INTERVENTIONS AND THERAPEUTICS: Positive Pressure Airway Therapy /
Titration of Continuous Positive Airway Pressure and Application and
Adjustment of Positive Airway Pressure Devices / Enhancing
Therapeutic Compliance / Bilevel Positive Pressure Airway Devices and
Titration of Bilevel Positive Airway Pressure / Autotitrating Devices
for Positive Airway Pressure / Noninvasive Ventilation for Sleep-
Disordered Breathing / Oxygen Administration in the Sleep Center /
Dental Sleep Medicine / Surgical and Pharmacologic Treatment of Sleep
Disorders / Sleep Hygiene / Treatment of Insomnia / Patient and
Family Education
PEDIATRIC SLEEP: Preparation of Infants and Children for
Polysomnography / Infant and Toddler Polysomnography / Sleep-Related
Breathing Disorders in Children / Nonrespiratory Pediatric Sleep
Disorders / Neuromuscular Disorders Affecting Sleep in Children /
Pulmonary Disorders Affecting Sleep in Children / Parasomnias in
Children / Interventions in the Pediatric Sleep Laboratory, Including
Positive Airway Pressure / Pediatric Scoring
SLEEP CENTER MANAGEMENT: Professionalism / Staffing a Sleep Center /
Sleep Center Policies and Procedures / Safety Considerations for the
Sleep Center / Accrediting a Sleep Program
ESTABLISHING A SLEEP CENTER: The Sleep Center and Physical Plant /
Audiovisual Equipment in the Sleep Cent