daniel erichsen md faap 10 25 2011 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Pediatric Sleep 101 PowerPoint Presentation
Download Presentation
Pediatric Sleep 101

Loading in 2 Seconds...

play fullscreen
1 / 111

Pediatric Sleep 101 - PowerPoint PPT Presentation


  • 233 Views
  • Uploaded on

Daniel Erichsen, MD, FAAP 10/25/2011. Pediatric Sleep 101. PS 101. Pediatric Sleep Clinic The function(s) of sleep Consequences of sleep loss Obstructive sleep apnea Division of Peds Sleep What’s going on?. Clinic. Thursday AM session Patients 2 – 26 y Sleep-disordered breathing

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

Pediatric Sleep 101


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
    Presentation Transcript
    1. Daniel Erichsen, MD, FAAP 10/25/2011 Pediatric Sleep 101

    2. PS 101 • Pediatric Sleep Clinic • The function(s) of sleep • Consequences of sleep loss • Obstructive sleep apnea • Division of Peds Sleep • What’s going on?

    3. Clinic • Thursday AM session • Patients • 2 – 26 y • Sleep-disordered breathing • Insomnia • Hypersomnia • Restless legs • Parasomnias

    4. Clinic

    5. Clinic

    6. Clinic

    7. Clinic

    8. Clinic

    9. Clinic

    10. Clinic + Facesheet Plz

    11. Clinic • Pediatric Sleep Clinic • The function(s) of sleep • Consequences of sleep loss • OSA • Insufficient sleep

    12. Bronx

    13. Eksjö, Småland

    14. Sävsjö, Småland

    15. Jonas Bronck • Born • Sävsjö 1600 • 1620s • Captain Dutch West India Company • New Netherlands

    16. June 1639 • Jonas Bronck • Navigates up East River in De Brant Van Troyen (The fire of Troy) • Purchases land north of Harlem River • South of 150th st

    17. Bronx • South of 150th • Jonas Bronk’s land

    18. Bronx • South of 150th • Jonas Bronck’s land • -> Bronck’s land

    19. Bronx • South of 150th • Jonas Bronck’s land • -> Bronck’s land • -> Broncksland

    20. Bronx • South of 150th • Jonas Bronck’s land • -> Bronck’s land • -> Broncksland • -> Bronx

    21. Back to Sleep • 1/3 of your life

    22. Human behavior • Eating • Energy supply • Talking • Communication • Sex • Reproduction • Sleep • ???

    23. Disadvantageous state • Sleep • No food gathering • No reproduction • Easy pray

    24. Sleep • Why do we sleep? • How important is sleep?

    25. Evolutionary perspective • Important functions conserved • How conserved is sleep? • How important is sleep?

    26. Mammals

    27. Northern fur seal • Lungs • Max 7 minutes submerged • Lives in water • Emerges 4-6 weeks/year

    28. Implanted brain electrodes • Land • Synchronized slow EEG activity entire brain and eyes closed night. • Asynchronized fast EEG activity entire brain and eyes open day.

    29. Implanted brain electrodes • Sea • Right hemisphere synchronized slow activity with left eye closed. • Left hemisphere asynchronized fast activity with right eye open.

    30. Sleep is universal • All species studied have sleep or sleep equivalent • Fish • Insects • Bacteria

    31. Sleep deprivation

    32. Sleep deprivation • Complete sleep deprivation • Hyperphagia • Hyperthermia • Autonomic dysregulation • Loss of fur • Death

    33. Wagner - 2006

    34. Wagner - 2006 • 90 practice tasks-> 8 hr break -> 300 testing tasks • Group 1 – Awake 11 am -> 7 pm • Group 2 – Awake 11 pm -> 7 am • Group 3 – Sleep 11 pm -> 7 am • Outcome • % subjects gained “insight”

    35. Wagner - 2006 • None gained “insight” after first 90 tasks

    36. Wagner - 2006 • % gained “insight” after 300 test tasks

    37. Functions of sleep • Consolidation of declarative memory

    38. Gais- 2002

    39. Gais- 2002 • 1 hr learning session -> 12 hr break -> 1 hr testing session • Group 1 – Slept 3 hrs • Group 2 – Slept 8 hrs • Group 3 – Awake daytime • Group 4 – Awake nighttime

    40. Gais- 2002 • Outcome • Improvement in speed of correct answer • Decrease in milliseconds

    41. Gais- 2002 • Results

    42. Functions of sleep • Consolidation of procedural memory

    43. Normal sleep architecture

    44. Memory consolidation

    45. Memory consolidation • Slow wave, “deep”, sleep • Consolidation of declarative memory • REM sleep • Consolidation of procedural memory

    46. Functions of sleep • Memory consolidation

    47. Margoliash - 2005 • Single neuron recording • Zebra Finch

    48. Margoliash - 2005 • Record singing

    49. Margoliash - 2005 • New song

    50. Functions of sleep • Memory consolidation may occur 2nd to reactivation of neural pathways in sleep