Complex Sleep Breathing Disorders: A Clinical Casebook of Challenging Patients

✍ Scribed by Christine Won

• Year: 2021
• Tongue: English
• Leaves: 240
• Category: Library

✦ Table of Contents

Preface
Contents
Contributors
Chapter 1: Hypercapnic Obstructive Sleep Apnea
Case
Discussion
Respiratory Chemoreflexes and Disease
Trait Versus State Components of the Respiratory Chemoreflex
The Importance of Hypocapnia and the CO2 Reserve in Central Sleep Apnea and Periodic Breathing
Polysomnographic Recognition of High Loop Gain Sleep Apnea
Carbonic Anhydrase Inhibition
Oxygen as Adjunctive Therapy for Hypercapnic Periodic Breathing
Adaptive Ventilation for Hypercapnic Periodic Breathing
References
Chapter 2: Central Sleep Apnea and Opioid Use
Case
Discussion
Introduction
Diagnosis
Epidemiology and Risk Factors
Pathogenesis
Consequences
Treatment
Complex Sleep Apnea Due to Opioids
References
Chapter 3: Sleep Apnea and Stroke
Case Presentation
Discussion
Pathogenesis
Assessment and Diagnosis
Treatment of Sleep-Disordered Breathing
References
Chapter 4: Obstructive and Central Sleep Apnea Treatment Challenges in Atrial Fibrillation
Case History and Examination
Evaluation
Diagnosis
Outcome
Discussion
Introduction
Epidemiology and Clinic-Based Studies Characterizing the Relationship of Sleep Apnea and Atrial Fibrillation
Sleep Apnea and Atrial Fibrillation Pathophysiology
Treatment of Obstructive Sleep Apnea in Atrial Fibrillation
Treatment of Central Sleep Apnea/Cheyne-Stokes Breathing in Atrial Fibrillation
References
Chapter 5: Cheyne-Stokes Breathing and Diastolic Heart Failure
Case
Baseline Night
CPAP Titration Night
ASV Control Nights
Chronic Follow-Up with ASV
Discussion
References
Chapter 6: Pulmonary Hypertension in Obstructive Sleep Apnea
Introduction
Case Report
Discussion
Mechanism of PH in OSA
Diagnostic Considerations
Effect of Treatment of OSA on PH
References
Chapter 7: Primary Central Sleep Apnea
Case
Discussion
Definition
Epidemiology and Demographics
Pathophysiology of Primary Central Sleep Apnea
Clinical Signs and Symptoms
Treatment
References
Chapter 8: Treatment-Emergent Central Sleep Apnea
Case
Discussion Section
Introduction
Pathophysiology
Diagnosis, Epidemiology, and Natural History
Clinical Presentation and Evaluation
History
Associated Conditions
Polysomnographic Features
Home Sleep Apnea Testing (HSAT) and PAP Data
Assessments of Physiologic Contributors to TE-CSA
Treatment
Conservative Measures
PAP Therapies
Non-PAP Therapies
References
Chapter 9: Upper Airway Resistance Syndrome
Case
Discussion
Introduction
Epidemiology
Clinical Presentation
Polysomnographic Findings
Pathophysiology
Treatment
Conclusion
References
Chapter 10: Sleep Apnea in Pregnancy
Case
Discussion
Normal Respiratory Physiology Changes During Pregnancy
Sleep-Disordered Breathing in Pregnancy
Diagnosis of SDB in Pregnancy
Sleep Apnea in Pregnancy Affects the Health of Mother and Infant
Treating Sleep Disordered Breathing in Pregnancy
References
Chapter 11: Obesity Hypoventilation Syndrome
Case
Discussion
Epidemiology
Definition
Pathophysiology
Diagnosis
Management
References
Chapter 12: Sleep Breathing Disorders in Amyotrophic Lateral Sclerosis
Case
Discussion
References
Chapter 13: Alveolar Hypoventilation and Non-invasive Ventilation in COPD
Case Presentation
Assessment
Management
Outcome
Discussion
References
Chapter 14: Hypoventilation Associated with Scoliosis
Case
Discussion
Introduction
Epidemiology
Clinical Presentation
Polysomnographic Findings
Pathophysiology
Treatment
Conclusion
References
Chapter 15: Postoperative Respiratory Failure
Case Scenario
Discussion
Mechanisms of Postoperative Respiratory Failure
Predicting Postoperative Respiratory Failure
Obstructive Sleep Apnea and Postoperative Respiratory Failure
Perioperative Management to Mitigate Postoperative Respiratory Failure
Intraoperative Ventilation Management to Prevent Postoperative Respiratory Failure
Residual Neuromuscular Blockade
Postoperative Management and Rescue Modalities
Conclusion
References
Chapter 16: Sleep Disordered Breathing at High Altitude
Clinical Presentation
Discussion
References
Chapter 17: Congenital Central Hypoventilation Syndrome (CCHS)
Case
Discussion
Diagnostics
Phenotype
Treatment and Surveillance
References
Chapter 18: Sleep Disordered Breathing and Prader-Willi Syndrome
Case Presentation
Discussion
Ventilatory Control
Obstructive Sleep Apnea
Growth Hormone
Central Sleep Apnea
Sleep-Related Hypoventilation
Hypersomnia
References
Chapter 19: Rapid-Onset Obesity with Hypothalamic Dysfunction, Hypoventilation, and Autonomic Dysregulation (ROHHAD)
Case Presentation
Discussion
History of ROHHAD
Etiology
Presentation
Differential Diagnosis
Management
References
Chapter 20: Chiari Malformations
Case
Discussion
References
Chapter 21: Sleep Breathing Disorders in Duchenne Muscular Dystrophy
Case
Discussion
References
Index