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Spriggs's Essentials of Polysomnography: a Training Guide and Reference for Sleep Technicians: A Training Guide and Reference for Sleep Technicians 3rd New edition [Mīkstie vāki]

  • Formāts: Paperback / softback, 482 pages, weight: 1559 g
  • Izdošanas datums: 24-Feb-2020
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 128417221X
  • ISBN-13: 9781284172218
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  • Formāts: Paperback / softback, 482 pages, weight: 1559 g
  • Izdošanas datums: 24-Feb-2020
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 128417221X
  • ISBN-13: 9781284172218
Citas grāmatas par šo tēmu:

Essentials of Polysomnography, Third Edition is a full color text designed specifically for sleep technicians and professionals. The new comprehensive all-in-one package and compact design makes it the ideal choice for training new sleep technicians, and students interested in studying polysomnography, as well as physicians, sleep lab managers, DME reps, and sleep lab front office staff members. It is also a great reference and study tool to help prepare for the RPSGT and CPSGT certification exams. Flashcards and the Pocketguide are included as appendices for students, instructors and practitioners. Also comes with a testprep as part of the online component



A&P Binding: NVPM Saleable

Spriggs's Essentials of Polysomnography, Third Edition is a comprehensive, full-color text designed specifically for sleep technicians and professionals. The Third Edition has earned its place as the touchstone for hospitals, sleep labs, physicians’ offices,
Preface xii
How to Use This Book xiii
About the Author xv
Acknowledgments xvi
Reviewers xvii
Chapter 1 Normal Sleep
1(12)
The Need for Sleep
2(3)
The Human Circadian Rhythm
5(1)
Human Sleep
5(2)
Brain Structures Related to Sleep
5(1)
States and Stages of Sleep
6(1)
Sleep Architecture
7(1)
Stage W (Wake)
7(1)
Stage N1
7(1)
Stage N2
7(1)
Stage N3
7(1)
Stage R
7(1)
Typical Progression of Sleep
8(1)
Sleep and Aging
8(1)
Changes to Normal Sleep Architecture
9(1)
Sleep Latency
9(1)
Sleep Efficiency
9(1)
Total Stage N1 Time
10(1)
Total Stage N2 Time
10(1)
Total Stage N3 Time
10(1)
Total Stage R Time
10(1)
Stage R Latency
10(1)
Stage R Periods
10(1)
Pregnancy and Sleep
10(1)
Chapter Summary
11(1)
Chapter 1 Questions
11(1)
Footnotes
11(2)
Chapter 2 Sleep Disorders
13(26)
History of Sleep Disorders
14(1)
Classification of Sleep Disorders
14(1)
Insomnia
15(3)
Chronic Insomnia Disorder
15(2)
Short-Term Insomnia Disorder
17(1)
Other Insomnia Disorder
17(1)
Isolated Symptoms and Normal Variants
17(1)
Insomnia Treatment Options
18(1)
Sleep-Related Breathing Disorders
18(7)
Obstructive Sleep Apnea, Adult
18(2)
Obstructive Sleep Apnea, Pediatric
20(1)
Central Sleep Apnea Syndromes
21(3)
Sleep-Related Hypoventilation Disorders
24(1)
Sleep-related Hypoxemia Disorder
25(1)
Isolated Symptoms and Normal Variants
25(1)
Sleep-Related Breathing Disorders Treatment Options
25(1)
Central Disorders of Hypersomnolence
25(3)
Narcolepsy Type I
25(2)
Narcolepsy Type II
27(1)
Idiopathic Hypersomnia
27(1)
Kleine-Levin Syndrome
27(1)
Hypersomnia Due to a Medical Disorder
27(1)
Hypersomnia Due to a Medication or Substance
27(1)
Hypersomnia Associated with a Psychiatric Disorder
27(1)
Insufficient Sleep Syndrome
28(1)
Circadian Rhythm Sleep-Wake Disorders
28(1)
Delayed Sleep-Wake Phase Disorder
28(1)
Advanced Sleep-Wake Phase Disorder
28(1)
Irregular Sleep-Wake Rhythm Disorder
28(1)
Non-24-Hour Sleep-Wake Rhythm Sleep Disorder
28(1)
Shift Work Disorder
28(1)
Jet Lag Disorder
29(1)
Circadian Rhythm Sleep Disorder Not Otherwise Specified
29(1)
Parasomnias
29(2)
Disorders of Arousal from NREM Sleep
29(1)
REM-Related Parasomnias
29(1)
Other Parasomnias
30(1)
Isolated Symptoms and Normal Variants
31(1)
Sleep-Related Movement Disorders
31(4)
Restless Legs Syndrome (RLS)
31(1)
Periodic Limb Movement Disorder (PLMD)
31(2)
Sleep-Related Leg Cramps
33(1)
Sleep-Related Bruxism
33(1)
Sleep-Related Rhythmic Movement Disorder
33(1)
Benign Sleep Myoclonus of Infancy
34(1)
Propriospinal Myoclonus at Sleep Onset
34(1)
Sleep-Related Movement Disorder Due to a Medical Disorder
35(1)
Sleep-Related Movement Disorder Due to a Medication or Substance
35(1)
Isolated Symptoms and Normal Variants
35(1)
Other Sleep Disorders
35(1)
Chapter Summary
36(1)
Chapter 2 Questions
37(1)
Footnotes
37(2)
Chapter 3 Patient Flow Process
39(14)
Living with a Sleep Disorder
40(1)
Physician Screening
40(3)
The Referral Process
43(2)
The Consultation
44(1)
Patient Scheduling and Billing
45(1)
The Sleep Study Process
45(2)
Patient Education
47(1)
The Scoring and Interpretation Process
47(1)
Second Night Studies
48(1)
DME Setup
48(2)
Nasal Masks
48(1)
Full Face Masks
49(1)
Nasal Pillows
49(1)
Oral Masks
49(1)
Other Mask Types
49(1)
PAP Machines
50(1)
Patient Follow-Up
50(1)
Chapter Summary
50(1)
Chapter 3 Questions
51(1)
Footnotes
51(2)
Chapter 4 Life as a Sleep Technologist
53(8)
Shiftwork
54(1)
Responsibilities as a Healthcare Worker
55(3)
Patient Safety
55(1)
Infection Control
56(1)
Professionalism
57(1)
Patient Confidentiality
57(1)
Quality Assurance
58(1)
Professional Training and Credentialing
58(1)
Credentialing Exam Preparation
58(1)
Test-Taking Tips
59(1)
Continuing Education
59(1)
Chapter Summary
59(1)
Chapter 4 Questions
60(1)
Footnotes
60(1)
Chapter 5 Diagnostic Equipment
61(14)
Basics of Electricity
62(1)
Signal Pathways
63(1)
Monitoring Devices
64(5)
Snap Electrodes
64(1)
Cup Electrodes
64(1)
Snore Sensors and Microphones
65(1)
Oximeters
65(1)
Body Position Sensors
65(1)
Thermal Airflow Sensors
65(2)
Pressure Transducers
67(1)
Capnography
67(1)
Respiratory Effort Technology
68(1)
Other Monitoring Devices
69(1)
Differential Amplifiers
69(2)
Electrical Grounding
71(1)
Digital Polysomnography
72(1)
Chapter Summary
73(1)
Chapter 5 Questions
74(1)
Footnotes
74(1)
Chapter 6 Patient Hookup Procedures
75(18)
International 10/20 System
76(1)
Electrode Placement for Sleep Studies
76(12)
Option 1 Placement for EEG Electrodes in a Standard Sleep Study
77(9)
Other Electrode Sites
86(2)
Electrode Application
88(2)
Locate the Electrode Site
88(1)
Prepare the Electrode Site
88(1)
Prepare the Electrode
89(1)
Place the Electrode
89(1)
Adhering the Electrode
90(1)
Impedance Checks
90(1)
Helpful Strategies for Sleep Technologists
90(1)
Antiper spirant
91(1)
Ponytailing
91(1)
Patient Questionnaires
91(1)
Positive Airway Pressure Desensitization
91(1)
Chapter Summary
91(1)
Chapter 6 Questions
91(1)
Footnotes
91(2)
Chapter 7 Viewing a Polysomnogram
93(14)
Display of Data
94(1)
EEG Channels
94(2)
EOG Channels
96(1)
EOG Example 1: E2 Up, E1 Down
96(1)
EOG Example 2: E1 Down, E2 Down
96(1)
EMG Channels
97(1)
EMG Examples 1 and 2
97(1)
EMG Example 3
98(1)
EMG Example 4
98(1)
ECG Channel
98(3)
ECG Example 1
100(1)
ECG Example 2
101(1)
Respiratory Channels
101(2)
Respiratory Channels Examples 1 and 2
102(1)
Respiratory Channels Example 3
103(1)
Oxygen Saturation (SpO2)
103(2)
SpO2 Example 1
103(1)
SpO2 Example 2
103(1)
SpO2 Example 3
104(1)
SpO2 Example 4
105(1)
Body Position
105(1)
Chapter Summary
105(1)
Chapter 7 Questions
106(1)
Footnotes
106(1)
Chapter 8 Artifacts and Troubleshooting
107(26)
Artifacts
108(1)
ECG Artifact
108(4)
ECG Artifact Example 1
109(1)
ECG Artifact Example 2
109(1)
ECG Artifact Example 3
110(1)
ECG Artifact Example 4
111(1)
ECG Artifact Example 5
111(1)
Movement Artifact
112(2)
Movement Artifact Example 1
112(1)
Movement Artifact Examples 2 and 3
113(1)
Movement Artifact Example 4
113(1)
Slow-Wave Artifact
114(3)
Slow-Wave Artifact Example 1
115(1)
Slow-Wave Artifact Example 2
115(1)
Slow-Wave Artifact Example 3
116(1)
Slow-Wave Artifact Example 4
116(1)
Slow-Wave Artifact Example 5
117(1)
Snore Artifact
117(1)
Snore Artifact Example 1
117(1)
Snore Artifact Example 2
117(1)
Sixty-Hz Interference
117(3)
Sixty-Hz Interference Example 1
118(1)
Sixty-Hz Interference Example 2
119(1)
Sixty-Hz Interference Example 3
119(1)
Sixty-Hz Interference Example 4
120(1)
Sixty-Hz Interference Example 5
120(1)
Sixty-Hz Interference Example 6
120(1)
Muscle Artifact
120(4)
Muscle Artifact Example 1
121(1)
Muscle Artifact Example 2
122(1)
Muscle Artifact Example 3
122(2)
Electrode Popping
124(1)
Electrode Popping Example 1
124(1)
Electrode Popping Example 2
124(1)
Pen Blocking
124(1)
Pen Blocking Example 1
125(1)
Pen Blocking Example 2
125(1)
Improper Gain or Sensitivity Settings
125(4)
Improper Gain or Sensitivity Settings Example 1
127(1)
Improper Gain or Sensitivity Settings Example 2
127(1)
Improper Gain or Sensitivity Settings Example 3
128(1)
Improper Gain or Sensitivity Settings Example 4
128(1)
Improper Filter Settings
129(1)
Improper Filter Settings Example
129(1)
Correcting Artifacts
129(1)
Chapter Summary
130(1)
Chapter 8 Questions
131(1)
Footnote
131(2)
Chapter 9 Performing an Overnight Sleep Study
133(28)
Order of Operations
134(1)
Reviewing the Patient Chart
134(1)
Preparing the Patient Tray
134(1)
Preparing the Patient Room
135(1)
Connecting the Diagnostic Equipment
135(1)
Selecting a Montage
135(1)
Amplifier Calibrations
135(15)
Waveform Characteristics
139(1)
Time Constant
140(1)
Frequency Filters, Gain, and Sensitivity Settings
140(1)
Filters Example 1
141(1)
Filters Example 2
142(1)
Sensitivity Setting
143(1)
Standard Settings
143(5)
Multiple Channel Settings
148(2)
Patient Paperwork
150(1)
Consent for Testing
150(1)
Pretest Questionnaire
150(1)
Posttest Questionnaire
151(1)
Patient Hookup and Education
151(1)
Impedance Check
151(1)
Physiologic Calibrations
151(3)
Maintaining Patient Safety and the Integrity of the Recording
154(1)
Technologist Notes and Documentation
155(2)
Posttest Summary
156(1)
Ending the Study
157(1)
Patient Discharge
157(1)
Chapter Summary
157(2)
Chapter 9 Questions
159(1)
Footnote
159(2)
Chapter 10 Performing a PAP Titration
161(10)
PAP Therapy
162(1)
CPAP
162(1)
Bi-Level
163(1)
PAP Equipment
163(1)
Interface Selection
163(1)
PAP Devices
164(1)
Humidification
165(1)
Adverse Effects
165(1)
PAP Titration
165(1)
CPAP Titration Protocols
166(1)
Increasing CPAP
166(1)
Decreasing CPAP
166(1)
Bi-Level Titration Protocols
167(1)
Split-Night Studies
168(1)
Supplemental O2
168(1)
Post PAP Titration
169(1)
Chapter Summary
170(1)
Chapter 10 Questions
170(1)
Footnote
170(1)
Chapter 11 Performing Other Types of Sleep Studies
171(6)
Multiple Sleep Latency Test
172(1)
Maintenance of Wakefulness Test
172(1)
REM Behavior-Disorder Study
173(1)
Nocturnal Seizure Study
173(1)
Ambulatory Sleep Studies
173(1)
Advantages of HST
174(1)
Disadvantages of HST
174(1)
Other Diagnostic Testing
174(1)
Chapter Summary
175(1)
Chapter 11 Questions
176(1)
Footnote
176(1)
Chapter 12 Sleep Staging
177(32)
Rechtschaffen and Kales
178(1)
EEG Waveforms
178(1)
Alpha Waves
178(1)
Theta Waves
178(1)
Sleep Spindles
178(1)
K-Complex
178(1)
Slow Waves
179(1)
Stage W
179(1)
Stage N1
180(2)
Stage N2
182(2)
Stage N3
184(12)
Stage R
196(9)
Chapter Summary
205(1)
Case Examples
206(1)
Chapter 12 Questions
207(1)
Footnotes
207(2)
Chapter 13 Abnormal Events
209(28)
EEG Arousals
210(1)
Beta Spindles
211(3)
Nocturnal Seizures
214(2)
Leg Movements
216(2)
Bruxism
218(2)
Obstructive Apnea
220(3)
Hypopnea
223(3)
Central Apnea
226(2)
Mixed Apnea
228(3)
Cheyne-Stokes Breathing
231(1)
Snoring
231(2)
Respiratory Effort-Related Arousals
233(1)
Chapter Summary
234(2)
Chapter 13 Questions
236(1)
Footnotes
236(1)
Chapter 14 Cardiac Rhythms
237(16)
Reading ECG Tracings
238(2)
Normal ECG Ranges
240(1)
Sinus Rhythms
241(1)
Normal Sinus Rhythm
241(1)
Sinus Arrhythmia
241(1)
Sinus Bradycardia
242(1)
Sinus Tachycardia
242(1)
Atrial Rhythms
242(2)
Premature Atrial Complexes (PACs)
242(1)
Atrial Flutter
243(1)
Atrial Fibrillation
243(1)
Junctional Rhythms
244(1)
Premature Junctional Contractions (PJCs)
244(1)
Supraventricular Tachycardia (SVT)
244(1)
Ventricular Rhythms
245(2)
Premature Ventricular Contractions (PVCs)
245(1)
Ventricular Tachycardia
246(1)
Ventricular Fibrillation
246(1)
Ventricular Standstill (Asystole)
246(1)
Escape Rhythms
247(1)
AV Blocks
247(2)
First-Degree AV Block
247(1)
Second-Degree AV Block Type 1 (Wenckebach, Mobitz 1)
248(1)
Second-Degree AV Block Type 2 (Non-Wenckebach, Mobitz 2)
248(1)
Third-Degree (Complete) AV Block
249(1)
Chapter Summary
249(2)
Chapter 14 Questions
251(1)
Footnote
251(2)
Chapter 15 Sleep Study Reporting
253(10)
Sleep Study Times, Formulas, and Calculations
254(1)
Types of Sleep Reports
255(1)
Diagnostic Reports
255(1)
Titration Reports
256(1)
Split Night Reports
256(1)
Home Sleep-Testing Reports
256(1)
Sample Sleep Reports
256(1)
Scoring Notes
257(5)
Type of Study
258(1)
Results of Study
258(1)
Sleep Architecture
259(1)
Events
259(1)
Association of Events
260(1)
Cardiac Rhythms
261(1)
Patient History and Questionnaires
262(1)
Chapter Summary
262(1)
Chapter 15 Questions
262(1)
Footnote
262(1)
Chapter 16 Pediatric Sleep Medicine
263(8)
Significance of Pediatric Sleep Medicine
264(1)
Special Considerations
264(1)
Pediatric Patient Hookup
265(1)
Pediatric Sleep Recordings
265(1)
Scoring Pediatric Sleep Studies
266(2)
Sleep-Staging Rules
266(1)
Respiratory Event Rules
266(2)
Chapter Summary
268(1)
Chapter 16 Questions
269(1)
Footnotes
269(2)
Chapter 17 Medications and Sleep
271(10)
Drug Effects on Sleep
272(1)
Analgesics
272(1)
Antidepressants
272(1)
Tricyclic Antidepressants (TCAs)
272(1)
Selective Serotonin Reuptake Inhibitors (SSRIs)
272(1)
Monoamine Oxidase Inhibitors (MAOIs)
272(1)
Antihistamines
273(1)
Antiepileptic Medications
273(1)
Cardiovascular Medications
273(1)
Sedative-Hypnotic Medications
273(1)
Barbiturates
273(1)
Benzodiazepines
273(1)
Nonbenzodiazepine Receptor Agonists
274(1)
Orexin Receptor Antagonists
274(1)
Stimulants
274(1)
Alcohol
274(1)
Sleep Aids: Selection and Safety
274(4)
Prescription Sleep Aids
274(1)
Over-the-Counter Sleep Aids
275(2)
Melatonin
277(1)
Chapter Summary
278(1)
Chapter 17 Questions
279(1)
Footnotes
279(2)
Chapter 18 Other Therapeutic Modalities
281(10)
Treatment of Sleep Disorders
282(1)
Education
282(1)
Chronotherapy
282(1)
Phototherapy
282(1)
Cognitive Behavioral Therapy
283(1)
Positional Therapy
283(1)
Nutritional Counseling and Weight Loss
283(1)
Pharmacological Treatments
284(1)
Oral Appliance Therapy
285(1)
Rapid Maxillary Expansion
285(1)
Hypoglossal Nerve Stimulation
286(1)
Nasal Surgery
287(1)
Adenotonsillectomy
287(1)
Somnoplasty
287(1)
Uvuloplasty
287(1)
Maxillomandibular Advancement
288(1)
Tracheostomy
288(1)
Other Surgical Procedures
288(1)
Chapter Summary
289(1)
Chapter 18 Questions
290(1)
Footnotes
290(1)
Comprehensive Posttest 291(106)
Posttest Answers and Explanations 397(20)
Appendix A Patient Hookup 417(4)
Appendix B Artifacts 421(4)
Appendix C Scoring 425(12)
Appendix D EKG Rhythms 437(8)
Appendix E Procedures and Protocol 445(10)
Appendix F Drugs and Medications 455(4)
Glossary 459(16)
Index 475(10)
Flashcards 485
Lisa M. Endee, MPH, RRT-SDS, RPSGT, RSTLisa Endee is a Clinical Associate Professor of Polysomnographic Technology and Respiratory Care at Stony Brook University in the School of Health Technology and Management. She possesses nearly 20 years of experience in adult and pediatric sleep diagnostics and therapeutics. Lisas academic background includes the completion of a Bachelor of Science degree from Fordham University in 1996, a Bachelor of Science degree in Respiratory Care from the State University of New York at Stony Brook in 1999, and a Master of Public Health degree from the State University of New York at Stony Brook in 2018. She received her Registered Respiratory Therapist (RRT) credential in 1999, Registered Polysomnographic Technologist (RPSGT) in 2000, and Sleep Disorders Testing and Therapeutic Intervention credential (RRT-SDS) in 2012.Lisas career in Polysomnography includes experience in both clinical and academic settings. In the clinical arena, she has many years experience in sleep diagnostic testing, therapeutics, patient education, scoring sleep studies, and working closely with sleep physicians on study interpretation, therapy recommendations, and the many aspects of clinical sleep medicine. In addition, Lisa served in various supervisory and administrative roles in which she provided clinical instruction to students and led efforts to establish and expand sleep testing facilities, obtain the American Academy of Sleep Medicine accreditation, and develop policies for various departmental and hospital-level quality-assurance and performance-improvement initiatives.In her current role as Clinical Associate Professor, Lisas responsibilities include clinical instruction of students on all aspects of sleep diagnostics, interpretation, and therapeutics. She has Lisa has been an item writer for the National Board for Respiratory Cares sleep specialty exam and has co-authored several articles for the American Association of Respiratory Cares Sleep Section and the Journal of Respiratory Care. In addition, she has served on numerous committees for the Board of Registered Polysomnographic Technologists and the American Association of Sleep Technologists.Lisas professional areas of interest include patient and public education in the areas of sleep wellness and health. She has led various community-based research projects targeting the prevention of drowsy driving. Through grant funding, she has spearheaded the development of a unique, educational website- stopdrowsdriving.org-and the launch of a social media campaign to prevent drowsy driving and reduce the incidence of crashes and injuries. She has also served as the Principal Investigator of a research project that led to the development of a data-driven curriculum targeting drowsy driving prevention among young adults. This curriculum is currently being expanded across colleges and universities in New York State.