The New Sleep Scoring Manual–The Evidence Behind The Rules

Iber, Conrad; Ancoli‐Israel, Sonia; Chesson, Andrew L.; Quan, Stuart F.

doi:10.5664/jcsm.26812

Cited by 927 publications

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“…html), with EEG signals band-pass filtered between 0.2 and 25 Hz. Scoring was performed by trained technicians according to the standards of the American Academy of Sleep Medicine (Iber et al, 2007).…”

Section: Two-week Protocol and Follow-up Visitmentioning

confidence: 99%

Sleep restriction can attenuate prioritization benefits on declarative memory consolidation

Bennion

Chee

2016

Journal of Sleep Research

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SummaryAs chronic sleep restriction is a widespread problem among adolescents, the present study investigated the effects of a 1‐week sleep restriction (SR) versus control period on the consolidation of long‐term memory for prose passages. We also determined whether the benefit of prioritization on memory is modulated by adequate sleep occurring during consolidation. Fifty‐six healthy adolescents (25 male, aged 15–19 years) were instructed to remember a prose passage in which half of the content was highlighted (prioritized), and were told that they would receive an additional bonus for remembering highlighted content. Following an initial free recall test, participants underwent a 7‐night period in which they received either a 5‐h (SR) or 9‐h (control) nightly sleep opportunity, monitored by polysomnography on selected nights. Free recall of the passage was tested at the end of the sleep manipulation period (1 week after encoding), and again 6 weeks after encoding. Recall of highlighted content was superior to that of non‐highlighted content at all three time‐points (initial, 1 week, 6 weeks). This beneficial effect of prioritization on memory was stronger 1 week relative to a few minutes after encoding for the control, but not the SR group. N3 duration was similar in the control and SR groups. Overall, the present study shows that the benefits of prioritization on memory are enhanced over time, requiring time and sleep to unfold fully. Partial sleep deprivation (i.e. 5‐h nocturnal sleep opportunity) may attenuate such benefits, but this may be offset by preservation of N3 sleep duration.

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Section: Two-week Protocol and Follow-up Visitmentioning

confidence: 99%

Sleep restriction can attenuate prioritization benefits on declarative memory consolidation

Bennion

Chee

2016

Journal of Sleep Research

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“…Las etapas A y B corresponden a lo que hoy se denomina fase n1; la C, a la n2, y las D y E, a la n3. Adicionalmente, el manual de Rechtschaffen y Kales fue el sistema de estadiaje utilizado para clasificar los estudios de sueño en humanos por al menos 40 años; sin embargo, solo hasta el 2004 la Sociedad Americana de Medicina del Sueño presentó el nuevo manual para clasificar todos los parámetros que se miden en un polisomnograma (esto es, despertares, eventos cardiacos, respiratorios y de movimientos), el cual se publicó en 2007 y actualmente constituye la base para acreditar los centros y laboratorios de sueño en Estados Unidos [42][43][44].…”

Section: Diagnósticounclassified

Síndrome de apnea-hipopnea obstructiva del sueño (SAHOS) y su relación con complicaciones perioperatorias: revisión de la literatura

et al. 2014

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El objetivo de este artículo es revisar la importancia del síndrome de apnea-hipopnea obstructiva del sueño (SAHOS) en la población que va a ser llevada a cirugía y cómo detectar en el preoperatorio a pacientes con riesgo elevado de complicaciones en el perioperatorio mediante el cuestionario STOP-BANG. Para lo anterior, se realizó una búsqueda en las bases Pubmed, Science y SciELO. El SAHOS es un problema médico importante con prevalencia variable (hasta el 26 % en la población general dependiendo del centro donde se evalúe). Es una enfermedad de inicio insidioso y progresivo, en la que hay episodios recurrentes de apneas o hipopneas causadas por obstrucción de la vía aérea superior durante el sueño que produce un deterioro significativo de la calidad de vida. Se quiere evaluar si el cuestionario STOP-BANG es útil para identificar, en el preoperatorio, a pacientes que tengan complicaciones perioperatorias, probablemente porque identifica pacientes con SAHOS no diagnosticado.

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“…It is recognized that excessive levels of CPAP delivered to patients with OSA lead to increased neural respiratory drive, with a concomitant worsening of breathlessness . The optimal titration protocol for patients with COPD–OSA overlap is currently unknown and international guidelines recommend in‐laboratory polysomnography (PSG) to guide set‐up . A recent small randomized controlled trial comparing PSG‐guided NIV set‐up for overlap patients with set‐up based on limited respiratory polygraphy found no difference in medium‐term control of respiratory failure, sleep quality, NIV compliance or health‐related quality of life .…”

Section: Future Target Population For Clinical Trial In Home Mechanicmentioning

confidence: 99%

Home mechanical ventilation for chronic obstructive pulmonary disease: What next after the HOT‐HMV trial?

2019

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The benefits of acute non-invasive ventilation to treat acidotic exacerbations of chronic obstructive pulmonary disease (COPD) are well-established. Until recently, the evidence for home mechanical ventilation (HMV) to treat patients with stable COPD had been lacking. This has subsequently been addressed by the application of higher levels of pressure support combined with targeted management of chronic respiratory failure, which demonstrated a reduction in all-cause mortality. Similarly, the previous trial of home oxygen therapy (HOT) and HMV delivered following an acute exacerbation failed to demonstrate an improvement in outcome. With the focus on patients with persistent hypercapnic respiratory failure in the recovery phase following a life-threatening exacerbation combined with targeted reduction in carbon dioxide, HOT and HMV (HOT-HMV) was shown to be clinically effective in reducing the time to readmission or death and cost effective in both the United Kingdom and United States healthcare systems. Future work will need to focus on promoting adherence to home ventilation and novel auto-titrating ventilator modes to facilitate and optimize the set-up of overnight ventilatory support in different target population such as COPD patients with obstructive sleep apnoea and COPD patients with episodic nocturnal hypoventilation.

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The New Sleep Scoring Manual–The Evidence Behind The Rules

Cited by 927 publications

References 0 publications

Sleep restriction can attenuate prioritization benefits on declarative memory consolidation

Sleep restriction can attenuate prioritization benefits on declarative memory consolidation

Síndrome de apnea-hipopnea obstructiva del sueño (SAHOS) y su relación con complicaciones perioperatorias: revisión de la literatura

Home mechanical ventilation for chronic obstructive pulmonary disease: What next after the HOT‐HMV trial?

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