PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 16798566

Sleep studies: which technologies?

Jyoti Krishna·Oscar Sans-Capdevila·David Gozal
View original source ↗Export metadata ↓

Abstract

The demand for sleep services for young patients has escalated due to the increased recognition of pediatric sleep disorders over the past two decades. In this overview, we will highlight the essentials of pediatric sleep monitoring and stress particular issues that require the awareness of clinicians evaluating children for sleep disorders. While many techniques used in the "adult" sleep centers may suffice for the older adolescent patient, specific tailoring of the design of the sleep center to younger children and their families, and attention to the age-sensitive components of sleep data acquisition and interpretation are increasingly important in younger children. Several promising newer technologies and their potential for future clinical utility will be also reviewed.

Explore related subjects

Blood Pressure DeterminationChildHumansPolysomnographySeverity of Illness IndexSleepSleep Wake DisordersSurveys and QuestionnairesJournal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Jyoti Krishna, Oscar Sans-Capdevila, David Gozal. 2006-06-05. Sleep studies: which technologies?. https://doi.org/10.1016/j.prrv.2006.04.201

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Central venous pulse pressure analysis using an R-synchronized pressure measurement system.

OBJECTIVE: The information derived from central venous catheters is underused. We developed an EKG-R synchronization and averaging system to obtained distinct CVP waveforms and analyzed components of these. METHODS: Twenty-five paralyzed surgical patients undergoing CVP monitoring under mechanical ventilation were studied. CVP and EKG signals were analyzed employing our system, the mean CVP and CVP at end-diastole during expiration were compared, and CVP waveform components were measured using this system. RESULTS: CVP waveforms were clearly visualized in all patients. They showed the a peak to be 1.8+/- 0.7 mmHg, which was the highest of three peaks, and the x trough to be lower than the y trough (-1.6+/- 0.7 mmHg and -0.9+/- 0.5 mmHg, respectively), with a mean pulse pressure of 3.4 mmHg. The difference between the mean CVP and CVP at end-diastole during expiration was 0.58+/- 0.81 mmHg. CONCLUSIONS: The mean CVP can be used as an index of right ventricular preload in patients under mechanical ventilation with regular sinus rhythm. Our newly developed system is useful for clinical monitoring and for education in circulatory physiology.

Blood Pressure Determination↗
PubMed2006

Beyond inpatient and outpatient care: alternative model for hypertension management.

Hypertension is a major contributor to worldwide cardiovascular mortality, however, only one-third of patients with hypertension have their blood pressure treated to guideline recommended levels. To improve hypertension control, there may need to be a fundamental shift in care delivery, one that is population-based and simultaneously addresses patient, provider and system barriers. One potential approach is home-based disease management, based on the triad of home monitoring, team care, and patient self-care. Although there may be challenges to achieving the vision of home-based disease management, there are tremendous potential benefits of such an approach for reducing the global burden of cardiovascular disease.

Blood Pressure Determination↗