Sleep Medicine in Critical Care: Diagnosis and Practical Approach

Antonio M. Esquinas, MD, PhD (Editor)
Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain

Joerg Steier, MD, PhD (Editor)
King’s College London, London, UK

Behrouz Jafari (Editor)
Irvine VA Long Beach Healthcare System, Long Beach, CA, USA

Series: Sleep – Physiology, Functions, Dreaming and Disorders
BISAC: HEA043000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Sleep breathing disorders represent one of the most important factors that influence prognosis in critical patients, directly as an initial cause or indirect process that deteriorates after admission to the Intensive Care Units. Despite this known association, there is little scientific information in key practical questions. For example, how does one approach and diagnose sleep breathing disorders in critical care medicine? How can one measure these associations in patients under non-invasive and invasive mechanical ventilation? During weaning from mechanical ventilation, extubation process, or prevention extubation failure, and finally, their association with short and long term prognosis in medical and postoperative critically patients. In this scenario, they are of great interest to understand these associations.

In this book, we analyze the rationale for diagnosis and treatment in critically mechanically ventilated, from non-invasive, invasive and weaning from mechanical ventilation process, treatments, protocols and follow-up patients’ recommendations. The high prevalence of sleep breathing disorders, increment critically mechanical ventilated patients, new forms of invasive and non-invasive mechanical ventilation justify as multidisciplinary perspective this book, useful for pulmonologists, critical care and anesthesiologist.
(Imprint: Nova Medicine and Health)


Chapter 1. Prevalence of Sleep-Disordered Breathing (SDB) in Patients with Mechanical Ventilation
(Baran Balcan, MD, Department of Pulmonary Medicine and Intensive Care, Marmara University, Fatih, Istanbul, Turkey)

Chapter 2. Interaction of Sleep-Disordered Breathing and Mechanical Ventilation
(Gabriel Anders, DO, and Peter C. Gay, MD, Pulmonary Critical Care Fellow, Division of Pulmonary, Sleep, and Critical Care Medicine, University of Missouri-Kansas City, Kansas City, MO, US, and others)

Chapter 3. Respiratory Muscles (Inspiratory, Expiratory and Bulbar) and Sleep Disordered-Breathing
(J. Steier, MD, and Culadeeban Ratneswaran, MD, King's College London, Faculty of Life Sciences and Medicine, London, UK, and others)

Chapter 4. The Importance of Upper Airways Features in Sleep Breathing Disorders
(Andrea De Vito, Giannicola Iannella, Soon Sue Rene, Bhik Kotecha, Khai Beng Chong, Mohamed Al Ajmi, Muawya Bani Younes, Graeme Jones, Vinod Prabhu, Venkata Koka, Giovanni Cammaroto, Giuseppe Meccariello and Claudio Vicini, Head and Neck Department, Ear, Nose and Throat Unit, Morgagni-Pierantoni Hospital, Forlì, Italy, and others)

Chapter 5. Devices for Diagnosis of Sleep Breathing Disorders
(Adam J. Birdseye, Richard Brown, and Sakina F. Dastagir, Sleep Disorders Centre, Guy's Hospital, Great Maze Pond, London, UK, and others)

Chapter 6. How to Diagnose Sleep-Related Breathing Disorders outside the Sleep Laboratory
(Eui-Sik Suh, MD, PhD, Consultant in Respiratory and Ventilation Medicine, Lane Fox Respiratory Service, Guy’s and St. Thomas’ NHS Foundation Trust, London, UK, and others)

Chapter 7. Hypoxic and Hypercapnic Respiratory Failure: Implications for Sleep Medicine, Diagnosis and Practical Approach
(Gül Gürsel, MD, Department of Pulmonary Critical Care Medicine, Gazi University, Ankara, Turkey)

Chapter 8. Intermittent Hypoxia, Sympathetic Activity and Oxidative Stress in OSA and CPAP Effects
(Esther I. Schwarz, MD, Department of Pulmonology and Sleep Disorders Centre, University Hospital of Zurich, Zurich, Switzerland)

Chapter 9. Effect of CPAP on Cognition and Brain Function
(Valentina Gnoni and Ivana Rosenzweig, Sleep and Brain Plasticity Centre, Department of Neuroimaging, King’s College London, London, UK, and others)

Chapter 10. Effect of CPAP on Co-Morbidities (Cardiac, Renal and Liver)
(Martino F. Pengo, MD, PhD, Elisa Perger, MD, and Carolina Lombardi, MD, PhD, Department of Cardiovascular, Neural and Metabolic Sciences, IRCCS Istituto Auxologico Italiano, Milan, Italy, and others)

Chapter 11. Nasal High Flow Therapy
(Tristan Bonnevie, Antoine Cuvelier, MD, PhD, and Maxime Patout, MD, Pulmonary, Thoracic Oncology and Respiratory Intensive Care Department, Rouen University, Rouen, France, and others)

Chapter 12. Options of Mechanical Ventilation in Sleep Related Breathing Disorders: Non-Invasive Mechanical Ventilation
(Rebecca F. D’Cruz, MD, and Georgios Kaltsakas, MD, Centre for Human and Applied Physiological Science, School of Basic and Biomedical Science, King's College, London, UK, and others)

Chapter 13. Patterns of Response to Non-Invasive Positive Pressure Ventilation (NIPPV) in Sleep-Related Breathing Disorders
(Giuseppe Fiorentino, MD, Anna Annunziata, MD, and Antonio M. Esquinas, MD, Respiratory Unit,
AO Ospedali dei Colli Monaldi, Naples, Italy, and others)

Chapter 14. Non-Invasive Ventilation in Obesity Hypoventilation Syndrome
(Irena Sarc MD, Noninvasive Ventilation Department, University Clinic for Pulmonary and Allergic Diseases, Golnik, Slovenia)

Chapter 15. Sleep-Related Breathing Disorders in Chronic Neuromuscular Diseases
(Jacek Nasiłowski, MD, PhD, Department of Internal Medicine, Pulmonary Diseases and Allergy
Medical University of Warsaw, Warsaw, Poland)

Chapter 16. Sleep-Related Breathing Disorders: Invasive Mechanical Ventilation (Non-Perioperative)
(Ebru Ortac Ersoy, MD, and Mehmet Yildirim, MD,Hacettepe University, Medical Intensive Care Unit
Ankara, Turkey

Chapter 17. Airway Management in Sleep-Related Breathing Disorders: Key Practical Approach
(Eda Macit Aydın, MD, Department of Anesthesiology and Reanimation, Division of Critical Care Medicine, Gazi University Faculty of Medicine Ankara, Turkey)

Chapter 18. Analgesia/Sedation Mechanical Ventilation: Key Practical Approach
(Lindsay Arrandale, MD, Consultant Anaesthetist, Guy's and St. Thomas' NHS Foundation Trust,
London, UK)

Chapter 19. Post-Operative Management and Clinical Results
(İlim Irmak, MD, Department of Chest Diseases, Hacettepe University School of Medicine, Ankara, Turkey)

Chapter 20. Extubation and Reintubation Failure: Impact of Sleep Disordered Breathing
(İlim Irmak, MD, Department of Chest Diseases, Hacettepe University School of Medicine, Ankara, Turkey)

Chapter 21. Difficult Weaning and Ventilator Dependent Patients: Key Practical Recommendations
(Neeraj M. Shah, MD, and Patrick B. Murphy, MD, Lane Fox Respiratory Service, Guy's and St. Thomas' NHS Foundation Trust, London, UK, and others)

Chapter 22. Prolonged Mechanical Ventilation: How to Diagnose and Treat Sleep-Related Breathing Disorders
(Montserrat Diaz-Abad, MD and Jennifer Y. So, MD, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, US)

Chapter 23. The Role of Tracheostomy in Short- and Long-Term Mechanical Ventilation: Implications and Effects
(Michalis Agrafiotis, MD, Anastassia Athanassiadou, MD, and Marianna Moysseos, MD, Department of Pulmonary Medicine, “Georgios Papanikolaou” General Hospital of Thessaloniki, Exohi, Greece)

Chapter 24. Sleep Disordered Breathing Disorders: Implications for Patient, Family, Physicians and Other Caregivers
(Rexford Muza, MD, Sleep and Respiratory Physician, Sleep Disorders Centre, Guy's Hospital, Great Maze Pond, London, UK)


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