Sleep Flashcards
Do sleep disorders and sleep loss contribute to chronic illness and car accidents??
Yes
What % of Australians experience inadequate sleep
40%
Do you need to know the cost of inadequate sleep in Australia
Yes
Do you need to know why we sleep and the functions of sleep
Yes
Do you need to know the study on how much sleep Americans get
Yes
Do you need to know about
0How much sleep people get
-Individual differences in sleep need
Yes
Do you need to know study about impact of sleep loss on performance and alertness?
Yes
2 objective ways to measure sleep
2 subjective ways to measure sleep
Polysomnography
Actigraphy (phone)
Sleep diary
Self report questionaire
What is looked at in polysomnography
EEG EMC EOG ECG Airflow Oxygen saturatoin
EEG
- Do you need to know the specifics
- what are the wave types? Do you need to know their frequency and association with sleep stage?
Yes Beta Alpha Theta Delta Yes
How do we score ECG waves?
By epochs - 30 seconds, most common wave
What are the 4 stages of sleep?
Do you need to know EEG, EMG, EOG readings
NREM 1 NREM 2 NREM 3 REM Yes
How long is a sleep cycle
How many sleep cycles per night
90 minutes
4-6
Do you need to know about sleep changes over the lifspan?
Yes
Do you need to know about the two process model of sleep wake regulation
Yes
CHILDHOOD SLEEP DISORDERS
:D
Do you need to know about physiological effects of sleep
Yes
2 categories of sleep disorders and definitions
Do you need to kmow examples of each?
Sleep disordered breathing fits into what category?
Dyssomnias: difficulty falling/staying asleep
Parasomnias: paranomal actvities during sleep
Yes
Dyssomnia
Do you need to know epidemiology of SDB in children
Yes
Do you need to know how OSA differs between adults and children
Yes
Do you need to know what risk factors for SDB are
Yes
Do you need to know the mechanism and symptoms of OSA
yes
What technique measures SDB in children? Do you need to know the various measurements?
Polysomnography
Yes
What metric measrues severity of SDB?
Apnea hypopnea index
What are the 3 categories of AHI
Primary snorer: AHI <1 event/hr
Mild OSA: 1-5 events/hr
Moderate/severe OSA: >5 events/hr
4 challenges associated with measuring BOD in pediatric population?
Young field with little data
Accessibility of polysomnography: cost, availability, tolerance
Large tonsels often assessed by ENT surgen, so PSG bypassed
Poor accuracy of some tools
Is pulse oximetry alone accurate in diasnosing childhood OSA?
No
What are the 3 categories of consequences of pediatric SDB? Do you need to know them?
Behaviuoral
Neurocognitive
Cardiovascular
Do you need to know about treatments?
Yes
Do you need to know studies about
0effectiveness of tinsillectomy or adenotonsillectomy versus non surgical management for obstructive SDB in children
Neurocognitvie outcomes after pediatric adenotonsillectomy for OSA
Yes
