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Teofilo L. Lee-Chiong Jr. MD - Fundamentals of Sleep Technology

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Teofilo L. Lee-Chiong Jr. MD Fundamentals of Sleep Technology

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Endorsed by the American Association of Sleep Technologists (AAST) and widely used as the go-to text in the field, Fundamentals of Sleep Technology, 3rd Edition, provides comprehensive, up-to-date coverage of polysomnography and other technologies in the evaluation and management of sleep disorders in adults and children. This edition has been extensively updated and expanded to reflect current practice, the latest technology, and the broader roles and responsibilities of the sleep technologist. Content is enhanced with new illustrations, tables, and treatment algorithms. This textbook, written by and for sleep technologists, is the ideal resource for those practicing in the field of sleep medicine or preparing for credentialing exams in sleep technology.
  • Chapters begin with Learning Objectives and Key Terms defined in the extensive Glossary
  • Key new chapters: Inpatient Assessment and Monitoring Program; Home Sleep Apnea Testing; Personalizing Selection of Interfaces; Telemedicine; Surgical and Other Interventions for Obstructive Sleep Apnea; Infant Sleep Management; and several chapters on new roles/responsibilities for sleep technologists
  • Major sections include: Anatomy and Physiology, Sleep Disorders and Disorders that Affect Sleep, Patient Care and Assessment, Adult Polysomnography, Pediatrics, and Interventions and Therapeutics
  • New expanded section on Sleep Center Management now appears in the expanded eBook and offers comprehensive coverage of organization and environment of a state-of-the art sleep facility including policies/procedures, personnel, and ethics and professionalism
  • Discusses therapeutic interventions including positive airway pressure, oxygen administration surgical and pharmacologic treatments, and patient education
  • Appendix provides new and expanded algorithms and charts, including: Trouble-shooting EEG artifacts, CPAP titration for OSA patient; diagnoses and management of numerous sleep disorders; examples of sleep reports; sample epochs demonstrating sleep stages, respiratory events, cardiac arrhythmias, movement/PLMS events, artifacts, and seizures ( Appendix now included in the eBook that accompanies the text )
  • Offers in-depth reviews and illustrations of the neurophysiology and cardiopulmonary aspects of sleep, along with the pathophysiology of sleep disorders
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Teofilo L. Lee-Chiong Jr. MD: author's other books


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Acquisitions Editor Chris Teja Development Editor Carole Wonsiewicz - photo 1

Acquisitions Editor Chris Teja Development Editor Carole Wonsiewicz - photo 2

Acquisitions Editor Chris Teja Development Editor Carole Wonsiewicz - photo 3

Acquisitions Editor: Chris Teja

Development Editor: Carole Wonsiewicz

Editorial Coordinator: Lauren Pecarich/Julie Kostelnik

Marketing Manager: Rachel Mante Leung

Production Project Manager: Marian Bellus

Design Coordinator: Holly McLaughlin

Artist/Illustrator: Holly R. Fischer

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: S4Carlisle Publishing Services

Third edition

Copyright 2020 by AAST

Copyright 2012 by American Association of Sleep Technologists. Copyright 2007 Lippincott Williams & Wilkins, a Wolters Kluwer business. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via our website at shop.lww.com (products and services).

9 8 7 6 5 4 3 2 1

Printed in China

Library of Congress Cataloging-in-Publication Data

Names: Mattice, Cynthia, editor. | Brooks, Rita, editor. | Lee-Chiong, Teofilo L., 1960- editor. | AAST issuing body.

Title: Fundamentals of sleep technology / [edited by] Cynthia D. Mattice, Rita Brooks, Teofilo L. Lee-Chiong.

Description: Third edition. | Philadelphia: Wolters Kluwer Health, [2020] | Includes bibliographical references and index.

Identifiers: LCCN 2018059468 | ISBN 9781975111625 (pbk.) | eISBN 9781975111632

Subjects: | MESH: Sleep Wake Disordersdiagnosis | Polysomnographymethods | Sleepphysiology

Classification: LCC RC547 | NLM WL 108 | DDC 616.8/498075dc23

LC record available at https://lccn.loc.gov/2018059468

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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Contents

Jon W. Atkinson

Tripat Deep Singh

Sharon A. Keenan and Robin E. Foster

Regina Patrick

David F. Wolfe

Lisa M. Bond

David F. Wolfe

Stephen Tarnoczy

Michael R. Furgason

Regina Patrick

Debra A. Guerrero

Elise A. Maher and Lawrence J. Epstein

Laura A. Linley

Joyce M. Black

Robert N. Turner

Rui M. de Sousa and Tamara Kaye Sellman

Chad Whittlef and Katherine M. Sharkey

Sonya Abercrombie and Joseph W. Anderson

Joseph W. Anderson

Matthew Lee Uhles and Raman K. Malhotra

Aleshia L. Dorst

Jennifer Parr-Christmas, Monica M. Henderson, James D. Geyer, and Paul R. Carney

Theresa A. Krupski

Amy Korn-Reavis and David A. Davis

Monica M. Henderson, Jennifer Parr-Christmas, James D. Geyer, and Paul R. Carney

Rochelle Zozula and Rita Brooks

Jayme R. Matchinski

Mary Kay Hobby

Kimberly A. Trotter

Danieliza Juniis-Johnson and Kristina Weaver

Renea Davis

Debbie Akers, Janet Pruett, J. Catesby Ware, and Robert D. Vorona

Lauren Tribou

Frank Walther

Regina Patrick

Eileen B. Leary

Eileen B. Leary

Harry Whitmore and Rita Brooks

Laree J. Fordyce

Jon W. Atkinson

Laree J. Fordyce

Jon W. Atkinson

David Moore and S. Justin Thomas

Susan Purdy and Richard B. Berry

Su Jeong Linstrom and Lisa J. Meltzer

Matthew W. Anastasi

Cheryl Thomas-Yvanauskas

Cheryl Thomas-Yvanauskas, Harry Whitmore, and Richard S. Rosenberg

Zack Freeman and Saad S. Ahmad

John Seymour

Thomas Russell

Shawn Kimbro

Edwin M. Valladares

Zack Freeman and Saad S. Ahmad

Robyn V. Woidtke

Melinda O. Trimble

Laura S. Lehnert

Robert N. Turner

Fayal Abdenbi

Julie DeWitte and Emmanuel (Joel) Porquez

Tim A. Statza

Brian J. Schultz and Lee J. Brooks

Kristine Bresnehan Servidio

Matthew J. Balog, Stephen H. Sheldon, and Darius Loghmanee

Carla A. Evans, Carol Wood, Carla Uy, and Karen Waters

Patrick Sorenson

Sleep Center Management chapters are available online as a supplement.

Todd Eiken

Henry Johns, Connstance Shivers Smith, and Robert Hendrickson

Robin E. Foster

Robyn V. Woidtke

Kathryn Hansen

Richard S. Rosenberg

Allen Boone

Julie DeWitte

Susan Harpham, Sonia Garcia, Nicole Brecht, and Michael R. Watson

Joseph W. Anderson

Appendices and Glossary are available online as a supplement.

Preface

D uring the 8 years since the previous edition of Fundamentals of Sleep Technology , there have been not only remarkable advances in the science and profession of sleep technologyautomation, portable testing, advanced positive airway pressure technologies, and telemedicine, to name a few, but also many vexing challenges. In many areas, sleep testing and treatments are still unavailable or unaffordable, adequate numbers of sleep health professionals lacking, and patients with sleep-related illnesses remain undiagnosed or untreated. Although opportunities for sleep technologists are expanding in education, research, industry, business, and government, many practitioners are increasingly anxious about their career longevity and professional advancement. In some countries, sleep technology has established curricula, certification, professional societies, and educational conferences; yet in others, none of these exist. Regardless of location around the globe, the sleep technologist has a profound responsibility to serve as an example of a healthy lifestyle, use health resources responsibly, reduce health inequalities, increase access to and support sustainable health programs, and promote cultural sensitivity in our health systems. Let us continue to work toward these positive changes.

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