Principles and Practice of Sleep Medicine 6 Edition

Principles and Practice of Sleep Medicine 6 Edition

For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. For this updated 6th edition, extensive additional online material enhances the value of Principles and Practice of Sleep Medicine to your practice.

Evidence-based content helps you make the most well-informed clinical decisions.
An ideal resource for preparing for the sleep medicine fellowship examination.
New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date.
Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders.
Online access to a wealth of extra material, including case studies, video clips, an image collection, updates to the text, self-assessment questions, a drug guide, classic articles, practice guidelines, patient brochures, Weblinks, information on the pioneers of sleep medicine, and more.
The essential reference tool to manage and diagnose patients with sleep disorders.

Review
“More than a textbook – it is an experience … A must-have for sleep professionals…an essential addition to the library of any clinician interested in learning more about how sleep medicine interrelates with nearly every field of medicine.” – JAMA, review of the last edition

About the Author

Meir H. Kryger, MD, FRCPC, Professor of Medicine, University of Connecticut, Director of Research and Education, Gaylord Hospital Sleep Medicine, Wallingford, Connecticut

William C. Dement, M.D., Ph.D., is the world’s leading authority on sleep, sleep deprivation, and the diagnosis and treatment of sleep disorders. In 1970 he founded the world’s first sleep disorders center at Stanford University. In 1975 he launched the American Sleep Disorders Association and served as president for its first twelve years. Each year since 1971 he has taught the popular &quot;Sleep and Dreams&quot; course at Stanford University and has written the first undergraduate textbook in the field. He was also chairman of the National Commission on Sleep Disorders Research, whose final report led directly to the creation of a new agency within the National Institutes of Health, the National Center on Sleep Disorders Research. He lives with his family in northern California.Christopher Vaughan is the author of <b>How Life Begins: The Science of Life in the Womb, named as one of the best books of 1996 by the National Association of Libraries. He lives in Palo Alto, California, with his wife and two children.

Table of Contents

Section 1: Normal Sleep and Its Variance
1. History of Sleep Physiology and Medicine
2. Normal Human Sleep: An Overview
3. Normal Aging
4. Daytime Sleepiness and Alertness
5. Sleep Deprivation
6. Genetics of Normal Human Sleep

Section 2: Sleep Mechanisms and Phylogeny

7. Neural Control of Sleep in Mammals
8. Rapid Eye Movement Sleep
9. Novel Techniques for identifying Sleep Mechanisms and Disorders
10. Sleep in Animals: A State of Adaptive Inactivity

Section 3: Physiology in Sleep

11. Relevance of Sleep Physiology for Sleep Medicine Clinicians
12. What Brain Imaging Reveals about Sleep Generation and Maintenance?
13. Cardiovascular Physiology and Coupling with Respiration: Central and Autonomic Regulation
14. Cardiovascular Physiology: Autonomic Control in Health and in Sleep Disorders
15. Respiratory Physiology: Central Neural Control of Respiratory Neurons and Motoneurons during Sleep
16. Respiratory Physiology: Understanding the Control of Ventilation
17. Physiology of Upper and Lower Airways
18. Respiratory Physiology: Sleep at High Altitudes
19. Sleep and Host Defense
20. Endocrine Physiology in Relation to Sleep and Sleep Disturbances
21. Thermoregulation in Sleep and Hibernation
22. Memory Processing in Relation to Sleep
23. Sensory and Motor Processing During Sleep and Wakefulness
24. Opiate Action on Sleep and Breathing
25. Pathophysiology of Sleep-wake Disturbances After Traumatic Brain Injury

Section 4: Genetics and Genomic Basis of Sleep

26. Introduction: Genetics and Genomics of Sleep
27. Genetics and Genomics of Circadian Clocks
28. Genetics and Genomic Basis of Sleep in Simple Model Organisms
29. Genetics and Genomic Basis of Sleep in Rodents
30. Genetics and Genomic Basis of Sleep in Healthy Humans
31. Genetics and Genomic Basis of Sleep Disorders in Humans

Section 5: Chronobiology

32. Introduction: Master Circadian Clock and Master Circadian Rhythm
33. Anatomy of the Mammalian Circadian System
34. Physiology of the Mammalian Circadian System
35. Human Circadian Timing System and Sleep-Wake Regulation
36. Sleep Homeostasis and Models of Sleep Regulation
37. Circadian Rhythms in Sleepiness, Alertness, and Performance
38. Central and Peripheral Circadian Clocks
39. Circadian Dysregulation and Mental and Physical Health
40. Circadian Disorders of the Sleep-Wake Cycle

Section 6: Pharmacology

41. Hypnotic Medications: Mechanisms of Action and Pharmacologic Effects
42. Clinical Pharmacology of Other Drugs Used as Hypnotics
43. Wake-Promoting Medications: Basic Mechanisms and Pharmacology
44. Wake-Promoting Medications: Efficacy and Adverse Effects
45. Drugs That Disturb Sleep and Wakefulness
46. Effects of Hypnotic Drugs on Driving Performance

Section 7: Psychobiology and Dreaming

47. Introduction
48. Why We Dream
49. Dream Content: Quantitative Findings
50. Brain Correlates of Sucessful Dream Recall
51. Neurobiology of Dreaming
52. Lucid Dreaming
53. Nightmares and Nightmare Function
54. Incorporation of waking Experiences into Dreams
55. Dreams and Nightmares in Posttraumatic Stress Disorder
56. Emotion, Motivation, and Reward in Relation to Dreaming

Section 8: Impact, Presentation, and Diagnosis

57. Approach to the Patient with Disordered Sleep
58. Cardinal Manifestations of Sleep Disorders
59. Physical Examination in Sleep Medicine
60. Use of Clinical Tools and Tests in Sleep Medicine
61. Classification of Sleep Disorders
62. Epidemiology of Sleep Medicine
63. Sleep Medicine, Public Policy, and Public Health
64. Sleep and Athletic Performance

Section 9: Legal Topics in Sleep Medicine

65. Sleep Forensics: Criminal Culpability for Sleep-Related Violence
66. Legal Obligations of Persons Who Have Sleep Disorders or Who Treat or Hire Them
67. Legal Aspects of Fatigue-and Safety-Sensitive Professions
68. Sleep Medicine Clinical Practice and Compliance – United States
69. Sleep Medicine Clinical Practice and Compliance – Europe

Section 10: Occupational Sleep Medicine

70. Introduction
71. Performance Deficits During Sleep Loss and Their Operational Consequences
72. Sleep and Performance Prediction Modeling
73. Fatigue Risk Management Systems
74. Drowsiness in Transportation Workers
75. Shift Work, Shift-Work Disorder, and Jet Lag
76. Sleep Problems in First Responders and in Deployed Military Personnel
77. Sleep, Occupational stress, and Burnout
78. Optimizing Shift Scheduling
79. Obstructive Sleep Apnea in the Workplace

Section 11: Insonmnia

80. Insomnia: Recent Developments and Future Directions
81. Insomnia: Epidemiology and Risk Factors
82. Etiology and Pathophysiology of Insomnia
83. Insomnia Diagnosis Assessment, and Evaluation
84. Insomnia and Health
85. Cognitive Behavioral Therapies for Insomnia I: Approaches and Efficacy
86. Psychological and Behavioral Treatments for Insomnia II: Implementation and Specific Population
87. Pharmacologic Treatment of Insomnia: Benzodiazepine Receptor Agonists
88. Pharmacologic Treatment of Insomnia: Other Medication

Section 12: Neurological Disorders

89. Narcolepsy: Genetic, Immunology, and Pathophysiology
90. Narcolepsy: Diagnosis and Management
91. Idiopathic Hypersomnia
92. Parkinsonism
93. Sleep and Stroke
94. Sleep and Neuromuscular Diseases
95. Restless Legs Syndrome and Periodic Limb Movements During Sleep
96. Alzheimer’s Disease and Other Dementias
97. Epilepsy, Sleep, and Sleep Disorders
98. Other Neurological Disorders
99. Sleep Disorders after Traumatic Brain Injury
100. Kleine-Levin Syndrome

Section 13: Parasomnias

101. Parasomnias: Overview and Approach
102. Non-Rapid Eye Movement Parasomnias: Clinical Spectrum, Diagnostic Features, and Management
103. Rapid Eye Movement Sleep Parasomnias
104. Nightmares and Dream Disturbances
105. Other Parasomnias
106. Sleep-Related Movement Disorders and Their Unique Motor Manifestations

Section 14: Sleep Breathing Disorders

107. Sleep Related Breathing Disorders: Classification
108. Sleep Breathing Disorders: Clinical Overview
109. Central Sleep Apnea: Definitions, and Pathophysiology, Genetics, and Epidemiology
110. Central Sleep Apnea: Diagnosis and Management
111. Anatomy and Physiology of Upper Airway Obstruction
112. Snoring and Pathologic Upper Airway Resistance Syndromes
113. Obstructive Sleep Apnea: Phenotypes and Genetics
114. Obstructive Sleep Apnea: Clinical Features, Evaluation, and Principles of Management
115. Positive Airway Pressure Treatment for Obstructive Sleep Apnea
116. Medical and Device Treatment for Obstructive Sleep Apnea: Alternative, Adjunctive, and Complementary Therapies
117. Obstructive Sleep Apnea and the Central Nervous System: Neural Adaptive Processes, Cognition and Performance
118. Obstructive Sleep Apnea and Metabolic Disorders
119. Overlap Syndromes of Sleep and Breathing Disorders
120. Obesity Hypoventilation Syndrome
121. Obstructive Sleep Apnea, Obesity, and Bariatric Surgery
122. Sleep and Breathing at High Altitude

Section 15: Cardiovascular Disorders

123. Sleep and Cardiovascular Disease: Present and Future
124. Sleep-Related Cardiac Risk
125. Cardiac Arrythmogenesis during Sleep: Mechanisms, Diagnosis, and Therapy
126. Cardiovascular Effects of Sleep-Related Breathing Disorders
127. Systemic and Pulmonary Hypertension in Obstructive Sleep Apnea
128 Coronary Artery Disease and Obstructive Sleep Apnea
129. Heart Failure

Section 16: Other Medical Disorders

130. Sleep and Fatigue in Cancer Patients
131. Fibromyalgia and Chronic Fatigue Syndromes
132. Endocrine Disorders
133. Pain and Sleep
134. Sleep and Chronic Kidney Disease
135. Sleep in Critically Ill Patients

Section 17: Psychiatric Disorders

136. Anxiety Disorders and Posttraumatic Stress Disorder
137. Unipolar Major Depression
138. Bipolar Disorder
139. Schizophrenia
140. Medication and Substance Abuse
141. Sleep Disturbances in Attention-Deficit/Hyperactivity Disorder

Section 18: Dentistry and Otolaryngology in Sleep Medicine

142. Role of Dentistry and Otolaryngology in Sleep Medicine
143. Orophayngeal Growth & Skeletal Malformations
144. Sleep Bruxism: Definition, Prevalence, Classification, Etiology, and Consequences
145. Sleep Bruxism: Diagnostic Considerations
146. Orofacial Pain and Temporomandibular Disorders in Relation to Sleep-Disordered Breathing and Sleep Bruxism
147. Oral Appliances for the Treatment of Obstructive Sleep Apnea-Hypopnea Syndrome and for Concomitant Sleep Bruxism
148. Anesthesia in Upper Airway Surgery for Obstructive Sleep Apnea
149. Upper Airway Surgery to Treat Obstructive sleep-Disordered Breathing
150. Pharmacotherapy, Complementary, Alternative Medicine for Sleep Bruxism

Section 19: Sleep in Older Adults

151. Psychiatric and Medical Comorbidities, and Effects of Medications in Older Adults
152. Obstructive Sleep Apnea in Older Adults
153. Insomnia in Older Adults
154. Circadian Rhythms in Older Adults

Section 20: Sleep in Women

155. Sex Differences and Menstrual-Related Changes in Sleep and Circadian Rhythms
156. Sleep and Sleep Disorders Associated with Pregnancy
157.Sleep-Disordered Breathing in Pregnancy
158. Postpartum Period and Early Motherhood
159. Sleep and Menopause

Section 21: Instrumentation and Methodology

160. Polysomnography and Beyond
161. Sleep Stage Scoring
162. Central Nervous System Arousals & Cyclic Alternating Patterns
163. Neurologic Monitoring Techniques
164. Monitoring Techniques for Evaluating Suspected Sleep-Related Breathing Disorders
165. Home Sleep Testing
166. Cardiopulmonary Coupling Sleep Spectrograms
167. Pulse Wave Analysis During Sleep
168. Recording and Scoring Sleep-Related Movements
169. Evaluating Sleepiness
170. Chronobiologic Monitoring Techniques
171. Actigraphy