Case Studies in Polysomnography Interpretation
The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including EEG, ECG, EMG, respiratory flow and effort, ventilation via CO2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities. Aspiring experts must constantly ask themselves questions regarding PSG interpretation such as: Am I confident in using all of these modalities? Can I accurately and consistently distinguish a seizure from a movement disorder; a servo ventilator signal from an auto-titrating continuous positive airway pressure signal; an episode of Cheyne-Stokes breathing from an episode of obstructive sleep apnea? The authors take you into their own sleep laboratories and deliver real-life cases for you to interpret with them. Such expertise is vitally useful for house staff and fellows learning sleep medicine, those seeking Board certification, technologists who score PSGs and seasoned sleep clinicians managing patients with sleep-related health disorders. The print edition includes a CD-ROM featuring all images.
- Electronic book text
- 01 Nov 2012
- CAMBRIDGE UNIVERSITY PRESS
- Cambridge University Press (Virtual Publishing)
- Cambridge, United Kingdom
- 164 colour illus.
About Robert C. Basner
Robert C. Basner is Professor of Clinical Medicine at the Pulmonary, Critical Care, and Allergy Division, Columbia University College of Physicians and Surgeons, New York, USA.
Table of contents
Preface; List of abbreviations; 1. A 74-year-old man with severe ischemic cardiomyopathy and atrial fibrillation Robert C. Basner and Ravi K. Persaud; 2. A 65-year-old man with amyotrophic lateral sclerosis Robert C. Basner and Ravi K. Persaud; 3. An 80-year-old man with severe heart failure and witnessed apnea awake and during sleep Robert C. Basner and Ravi K. Persaud; 4. A 33-year-old man with a history of interstitial pulmonary fibrosis and obesity Robert C. Basner and Ravi K. Persaud; 5. A 52-year-old man being treated for sleep-related hypoventilation Robert C. Basner and Ravi K. Persaud; 6. An 81-year-old obese woman with a history of snoring Robert C. Basner and Ravi K. Persaud; 7. A 33-year-old obese man with idiopathic pulmonary fibrosis and snoring Robert C. Basner and Ravi K. Persaud; 8. A 57-year-old woman with moderate obstructive sleep apnea Robert C. Basner and Ravi K. Persaud; 9. A 57-year-old woman with potential obstructive sleep apnea Robert C. Basner and Ravi K. Persaud; 10. An 80-year-old man with heart failure and previously documented Cheyne-Stokes breathing Robert C. Basner and Ravi K. Persaud; 11. A 46-year-old obese man with loud snoring, witnessed apnea, and daytime sleepiness Robert C. Basner and Ravi K. Persaud; 12. A 60-year-old woman with severe obstructive sleep apnea Robert C. Basner and Ravi K. Persaud; 13. A 52-year-old man with valvular cardiomyopathy Robert C. Basner and Ravi K. Persaud; 14. An otherwise healthy 40-year-old man with potential obstructive sleep apnea Robert C. Basner and Ravi K. Persaud; 15. A 32-year-old man with observed severe snoring, and leg shaking during sleep Carl Bazil; 16. A 20-year-old woman with extreme sleepiness who reports hypnic hallucinations, sleep paralysis, and sudden loss of muscle tone when startled Carl Bazil; 17. A 67-year-old man with chronic sleep-onset problems and maintenance insomnia, as well as episodes of talking and walking in his sleep Carl Bazil; 18. A 77-year-old woman with sudden episodes of loss of consciousness Carl Bazil; 19. A 32-year-old woman with frequent nocturnal episodes of sudden arousal and short chaotic movements Carl Bazil; 20. A 70-year-old woman with a history of hypertension and paroxysmal atrial fibrillation Sean M. Caples; 21. A 74-year-old man with known cardiac disease, with an automated implantable cardioverter-defibrillator Sean M. Caples; 22. A 60-year-old man with known coronary artery disease Sean M. Caples; 23. A 38-year-old man with 'restlessness' at night prior to sleep onset Kelly A. Carden; 24. A 50-year-old previously healthy man with obstructive sleep apnea and a recent history of palpitations Kelly A. Carden; 25. A 53-year-old man with a history of loud snoring and daytime sleepiness Kelly A. Carden; 26. A 27-year-old man with a 10-year history of insomnia Kelly A. Carden; 27. A patient's sleeping habits shown in an actigraph Kelly A. Carden; 28. A patient with a possible sleep-related breathing disorder Christopher Cielo and Lee J. Brooks; 29. A 4-month-old boy with a history of prematurity and gastroesophageal reflux and observed pauses in breathing during sleep Christopher Cielo and Lee J. Brooks; 30. A 7-day-old female with Pierre-Robin sequence and micrognathia Christopher Cielo and Carole L. Marcus; 31. A 3-year-old girl with a history of static encephalopathy and severe obstructive sleep apnea Christopher Cielo and Carole L. Marcus; 32. A 60-year-old obese patient with chronic obstructive lung disease and severe obstructive sleep apnea David G. Davila, Patti Reed and B. Marshall; 33. A 24-year-old woman with a history of anxiety, asthma, and daytime sleepiness Katherine A. Dudley and Jean K. Matheson; 34. A 43-year-old Chinese man with a history of obesity, difficult-to-control hypertension, and proteinuria has daytime sleepiness and snoring Katherine A. Dudley and Robert Thomas; 35. A 57-y