Making Sense of Sleep Medicine

Dr Karuna Datta, MD, PhD, FAIMER (GSMC-2009), International Sleep Medicine Certification (World Sleep Federation-2012) is Professor in the Department of Sports Medicine at Armed Forces Medical College, Pune, Maharashtra, India. She presently is a principal investigator of Govt of India funded project in ‘yoga nidra and cognition’ and continues her tryst with yoga nidra. Dr Deepak Shrivastava, MD, FAASM, FCCP, FACP, RPSGT is Professor of Internal Medicine, Sleep Medicine, Pulmonary and Critical Care at UC Davis School of Medicine and a faculty at UC Davis affiliated SJGH, a major trauma center. He is a senior faculty at Sleep Medicine Fellowship Program at UC Davis. He is an Adjunct Professor of Pharmacy at University of Pacific, School of Pharmacy and Assistant Professor of Medicine at St. George’s School of Medicine. He is an Assistant Professor of Medicine at School of Osteopathic Medicine in Vallejo, California. He is an Associate Medical Director for a California Managed Care Organization.

Preface. About the Editors. Contributors. BASICS FIRST. Basic Physiology of Sleep. Physiology of Circadian Rhythm. Physiological Changes during Sleep. Respiratory Physiology: Simple Science of CPAP and PAP Devices Explained. Drugs That Affect Sleep. WHAT DOES ONE DO IF THE PATIENT COMPLAINS OF SLEEP PROBLEMS?. Does the Patient Go to Bed on Time at Night and Can’t Sleep?. Does the Patient Snore? Does the Patient Stop Breathing at Times during Sleep?. Does the Patient Have Excessive Daytime Sleepiness?. Does the Patient Have Abnormal Movements at Night?. Does the Patient have Pain, Headaches, High Blood Pressure, Diabetes, Stroke, Ventilation or Cardiac Disorders, or Other Problems?. Is There a Complaint of Depression, Anxiety, Stress, etc.?. Is the Patient a Child? Is the Patient Pregnant? Other Special Cases. Is the Patient Not Sleeping on Time?. Broad Approach to Common Case Scenarios with Complaints of Sleep. HOW DO I INVESTIGATE THE PATIENT? (ASSESSMENT AND MONITORING). Basic Structure of Sleep Interview. Questionnaires. Use of a Sleep Diary. Actigraphy: Indications, Procedure Do’s and Don’ts, Sample Report. Home Sleep Apnea Testing. Polysomnography I: Detail with Indications, Hookup Procedure, Do’s and Don’ts. Polysomnography II: Sample Reports with Explanation of Various Terminologies. WHAT SHOULD I DO NOW? (MANAGEMENT). Sleep Hygiene Principles and Nonpharmacological Interventions including Light Therapy. Identifying the Need for Counselling. Pharmacological Agents Used in Various Sleep Disorders. Simple Positional Devices, Dental Appliances. Titration Protocols, Continuous Positive Airway Pressure (CPAP), and Other PAP Devices. SELF-ASSESSMENT. Chapter-Based Assessment. Index.