Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur's A Case a Week: Sleep Disorders from the Cleveland Clinic PDF

By Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur

ISBN-10: 0195377729

ISBN-13: 9780195377729

Supplying a realistic method of the creation of sleep drugs, this easy-to-use, concise quantity makes use of genuine sufferer instances from the Cleveland hospital Sleep issues heart. a large spectrum of diagnoses are integrated to show the reader to the large variety of sleep-wake problems sufferer can adventure. Written in a concise layout designed to demonstrate the signs, diagnostic standards, workup and regimen remedy of sufferers proposing to the sleep sanatorium, this quantity serves as a realistic textual content ideal for the busy primary-care practitioner trying to enhance her wisdom of sleep-wake problems. every time attainable, tracings from diagnostic exams, images, and movies are supplied to reinforce scientific shows and to help in popularity of abnormities pointed out within the sleep laboratory.

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Extra resources for A Case a Week: Sleep Disorders from the Cleveland Clinic

Example text

While accredited sleep centers have historically performed Type-1 studies, as a result of the 2008 CMS decision approving portable studies for the diagnosis of OSA, increasingly centers are incorporating Type 2 or 3 studies into their repertoire of services offered, as discussed in Chapter 11. The Positive Airway Pressure (PAP) Titration Study Aside from a diagnostic PSG, the second most common nighttime test is the positive airway pressure (PAP) titration study. The titration itself may be performed once the diagnostic PSG shows evidence of significant sleep apnea during the night.

The major categories of the ICSD-2 are: (1) insomnias; (2) sleep related breathing disorders; (3) hypersomnias of central origin: not due to a circadian rhythm sleep disorder, sleep related breathing disorder, or other cause of disturbed nocturnal sleep; (4) circadian rhythm sleep disorders; (5) parasomnias; (6) sleep related movement disorders; (7) isolated symptoms, apparently normal variants and unresolved issues; and (8) other sleep disorders. The disorders within each of these categories are listed in Appendix VII.

These provide a reference point for quality standards based upon the latest scientific evidence and expert consensus, and they also allow for better comparison of data from one laboratory to another. While the intent of this chapter is not to discuss the detailed requirements for an accredited laboratory, certain technical specifications are now expected of commercially available polysomnography acquisition systems. Current models are capable of meeting all, or virtually all, of these standards. Similarly, scoring criteria for sleep staging, limb movements, hypoventilation, and respiratory events are now updated, and adherence to these revised standards is a requirement for accredited laboratories.

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A Case a Week: Sleep Disorders from the Cleveland Clinic by Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur


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