By Lourdes M. DelRosso MD FAASM, Richard B. Berry MD, Suzanne E. Beck MD, Mary H Wagner MD, Carole L. Marcus MBBCh
Following within the steps of the bestselling Sleep medication Pearls, this useful source presents authoritative tips at the overview and administration of universal pediatric sleep drugs problems utilizing concise medical vignettes. specialists during this quickly becoming box, led by way of Drs. Lourdes M. DelRosso, Richard B. Berry, Suzanne E. Beck, Mary H. Wagner, and Carole L. Marcus, offer a hands-on, case-based strategy, ideal for physicians learning for the sleep forums, fellows studying sleep drugs, and physicians who see little ones of their practice.
- Over ninety five cases evaluate key components within the review and administration of a large choice of pediatric sleep problems.
- An easy-to-read "pearls" format summarizes 2 to five significant instructing issues for optimum retention. Short, templated chapters are perfect for use by means of busy physicians.
- Current scoring criteria from the yankee Academy of Sleep medication handbook for sleep and linked occasions model 2.2, in addition to the present foreign class of Sleep issues, third version (ICSD-3).
- Expert coverage of standard sleep in teenagers, in addition to sleep problems linked to universal clinical, neurologic, psychiatric, neurodevelopmental, and genetic stipulations.
- Up-to-date information on pediatric obstructive sleep apnea syndrome prognosis and management.
- Numerous illustrations of polysomnographic fragments and photographs of scientific findings assist you fast realize key pediatric sleep styles that result in a correct analysis. All illustrations on-line are in complete color.
- An excellent resource for pediatric sleep medication experts, grownup sleep drugs experts, pediatric pulmonologists, pediatric neurologists, pediatric otolaryngologists, basic pediatricians, and pediatric psychologists.
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Additional info for Pediatric Sleep Pearls
CASE 12 A 7-MONTH-OLD INFANT WITH A SERIES OF CENTRAL APNEAS 33 ANSWER Figure 12-1 demonstrates periodic breathing during REM sleep. Some of the individual breathing pauses fit criteria for central apnea, that is, the events last for the duration of two or more breaths and are associated with at least 3% desaturation. Periodic breathing usually occurs during REM sleep in infants. DISCUSSION The central control of breathing is located in the brainstem respiratory centers (medulla and pons). These centers integrate information and receive feedback from vagal afferents from the lungs, central chemoreceptors (pH), peripheral chemoreceptors (CO2 and O2), and baroreceptors (Fig.
NREM sleep oscillations and brain plasticity in aging. Front Neurol. 2012;3(article 176):1–6. Dubé J, Lafortune M, Bedetti C, et al. Cortical thinning explains changes in sleep slow waves during adulthood. J Neurosci. 2015;35(20):7795–7807. CASE 12 A 7-month-old infant with a series of central apneas Lourdes M. DelRosso CASE PRESENTATION A 7-month-old infant presented for evaluation of breathing pauses during sleep that occurred during both the night and daytime naps. The infant was born full term without perinatal complications.
There are certain features of benign sleep myoclonus of infancy that are distinguishable from epilepsy. First, benign sleep myoclonus of infancy occurs only during sleep and stops abruptly when the infant is woken. Seizures, however, can occur in both wakeful and sleep states. For seizures occurring while awake, the eyes are usually open. If seizure onset is during sleep, the eyes often open at the onset of the seizure. Second, benign sleep myoclonus of infancy usually occurs in otherwise healthy newborns, whereas neonatal seizures often occur in the context of infection, encephalopathy, or metabolic disorders.