Clinical Atlas of Polysomnography

Ravi Gupta, S. R. Pandi-Perumal, Ahmed S. BaHammam

• Publisher: Apple Academic Press
• Year: 2018
• ISBN:
  9781351360500
• Edition: 1
• Topic: Medicina
• Subtopic: Medicina interna y diagnóstico

Written for sleep technologists, Clinical Atlas of Polysomnography provides basic information regarding normal sleep, sleep disorders, and electrophysiology that is outside of the scope of the AASM manual ( AASM Manual for the Scoring of Sleep and Associated Events ). It aims to act as a guide through the fundamental aspects of, for example, types of overnight sleep study, establishing a sleep laboratory, preparing the patient for a sleep evaluation study, placement of electrodes and leads, and the scientific aspects of such placement, i.e., why they are placed at that particular position. This information will be very useful in those parts of the globe where formal training in sleep technology is not yet available.

Many further chapters focus on depicting real-time illustrations of sleep data as captured in the sleep laboratory and the scoring of recording data. Information regarding common montages, artifacts, and troubleshooting in the sleep laboratory will facilitate the reader's journey as a trainee sleep technologist. While scoring sleep recordings, the "When you score the data" histogram can provide a great deal of useful information, and this has been explained in detail in this book. Most importantly, it is prudent to be able to write reports that are both informative and easy to understand by physicians who do not have advanced knowledge of sleep medicine. A chapter has been dedicated to explaining this in detail. Lastly, the authors have provided ready-made forms, questionnaires, and documents that can either be used as they are or with some modifications.

This up-to-date and comprehensive volume will be an invaluable guide for technicians and physicians who wish to practice sleep medicine and will be useful for sleep technology and physician training programs. The volume is intended to complement, not be a substitute for, the AASM scoring manual, as many areas that are covered in the manual are not covered here.

CONTENTS

Dedication

About the Authors

List of Abbreviations

Foreword

Preface

Credits and Acknowledgments

1. Normal Sleep

2. Common sleep disorders

3. Introduction to polysomnography

4. Basic concepts of polysomnography channels

5. Preparations for the sleep study

6. Placement of leads for the sleep study

7. Starting and Closing the Study

8. Calibration and Biocalibration

9. Minimal Recording Parameters and Extended Montage

10. Montages

11. The Concept of Epochs

12. Artifacts

13. Scoring of Data in Adults

14. Use of Video Polysomnography

15. Use of Sleep Histogram

16. Polysomnography in Children: Scoring Rules

17. Test Protocols

18. Documentation

19. Troubleshooting

20. Manual Titration with Positive Airway Pressure

21. Writing an Informative Report

22. Guidelines for Supplemental Oxygen

23. Infection Control

24. Sleep Lab Management

25. Financial Viability for a Sleep Lab

Glossary

Index

DEDICATION

To our families . . .
for their abundant support, patience,
understanding, and everlasting love and affection.

ABOUT THE AUTHORS

Ravi Gupta, MD, PhD, MAMS, Certified Sleep Physician (World Sleep Federation), is presently working as Professor in the Department of Psychiatry & Sleep Clinic, Himalayan Institute of Medical Sciences, Dehradun, India. He has contributed chapters to various high profile academic volumes. He has also authored a book “Psychiatry for Beginners,” and has more than 100 published articles in various peer-reviewed journals to his credit. He has received numerous awards and fellowships, including the Young Psychiatrist Award from the Indian Psychiatric Society (2008), fellowships from the World Psychiatric Association (2008) and from the Japanese Society of Psychiatry and Neurology (2009), and membership of the Indian Academy of Medical Sciences, New Delhi (2015) to name a few. In 2010, he received a Mini-Fellowship from the American Academy of Sleep Medicine. This fellowship provided him a chance to refine his knowledge and skills in the area of Sleep Medicine under able guidance of Dr. Jim Walker and Dr. Robert Farney at LDS Hospital, Salt Lake City, Utah. Continuing with the legacy of his mentors, he is engaged in imparting knowledge of Sleep Medicine to physicians from various streams through lectures, workshops, and training programs in his present institute.

S. R. Pandi-Perumal, MSc, is the President and Chief Executive Officer of Somnogen Canada Inc, a Canadian Corporation. He is a well-recognized sleep researcher, both nationally and internationally, and has authored many publications. His general area of research interest includes sleep and biological rhythms. He is a well-known editor in the field of sleep medicine and has edited over 20 volumes dealing with various sleep-related topics. He received an honorable mention in the New York Times in 2004. The India International Friendship Society awarded him the prestigious Bharat Gaurav award on January 12, 2013. The Bharat Gaurav Award is usually recognition of a person who has made achievements in a particular field, which in turn will put a positive impact on the society at large.

Ahmed S. BaHammam, MD, FRCP (Lon), FRCP (Edin), ABIM, EDIC, FACP, FCCP, is a tenured Professor of Medicine at King Saud University (KSU). Recognized as a leading expert in the field of sleep medicine, both nationally and internationally, Prof. BaHammam established the first academic sleep disorders center in Saudi Arabia and the first Sleep Medicine Fellowship program and subsequently chaired the committee that established the Saudi regulation for accreditation of sleep medicine specialists and sleep technologists. As a founding member of the Saudi Thoracic Society and the Saudi Sleep Medicine community, Prof. BaHammam has organized over 20 workshops on polysomnography. His advanced polysomnography courses have been conducted in several countries in the Middle East. For his contribution to sleep medicine, he was awarded the Lifetime Achievement Award (2016) by King Saud University. He has published more than 200 scientific articles. He is a member of the editorial board of several international medical journals.

LIST OF ABBREVIATIONS

10-20	ten-twenty (electrode placement system)
5-HT	serotonin
AASM	American Academy of Sleep Medicine
AC	alternate current
AV	atrio-ventricular
ABG	arterial blood gas analysis
ABIM	American Board of Internal Medicine
ALMA	alternate leg muscle activity
ASV	adaptive servo-ventilation
COPD	chronic obstructive pulmonary disease
CPAP...