Studies in Sleep Physiopathology

Estudos em Fisiopatologia Respiratória I e II

The teaching of the course has three components: T, TP and P. The pedagogical methods applied to the T and TP component are: a) expository method, in which the principles and concepts are approached according to the proposed program, using audio visual technics: b) interactive method, with discussion of relief themes introduced in class, and that allow a practical integration of theoretical concepts.
In the P component, students are part of the multidisciplinary team, under the supervision of a teacher, developing in a real context the instrumental skills resulting from the theoretical training process.

The student must acquire knowledge about:
– Sleep Medicine and the importance of professional intervention in the diagnosis and treatment of associated disorders.
– Theoretical foundations of analysis, classification and interpretation of polygraphic sleep records, detection, analysis and interpretation of sleep disorders.
– Theoretical and theoretical-practical foundations as a basis for study and practical application of knowledge involved in sleep medicine laboratory procedures.
The student must acquire competences and skills of:
– Conduct polygraphic studies of sleep and proceed to its interpretation.
– Perform and interpret multiple latency tests, actigraphies and wake maintenance tests
– Adopt appropriate procedures in the use of equipment and management of the sleep laboratory.

Normal sleep and its variants
– Historical perspective of sleep medicine
– Normal sleep
– Sleep and age
– Sleep deprivation
Sleep physiology and control and regulation mechanisms
Circadiary Rhythm
Sleep and dreams
Epidemiology in sleep disorders
International classification of sleep disorders
Diagnosis in Sleep Medicine
Sleep questionnaires
Polygraphic Study of Sleep
– Introductory concepts
– Signal processing in the polygraphic study of sleep
– Patient monitoring
– Calibration
– Sleep staging – visual classification
– Artifacts in sleep staging
– Staging of respiratory events
– Polygraphic study of sleep with continuous positive pressure measurement
– Polygraphic study of sleep with oxygen supplementation
– Registration and report
– Protocols and problem solving
Other examinations in sleep medicine
– Multiple Latency Tests
– Actigraphy
– Wake Maintenance Test
Sleep laboratory management.
Clinical evaluation in sleep medicine.
Respiratory sleep disorders.

NAO

Primary Bibliography:

KRYGER, Meir H. ; ROTH, Thomas ; DEMENT, William C. Dement, ed. lit. – Principles and practice of sleep medicine. 4th ed. Philadelphia : Elsevier Saunders, 2005. XXVIII, 1517 p.. ISBN 978-0-7216-0797-7
RENTE, Pilar ; PIMENTEL, Teresa – A patologia do sono. Lisboa; Porto; Coimbra : Lidel, edições técnicas, 2004. 212 p. ISBN 972-757-273-1
Berry RB, Brooks R, Gamaldo CE, Harding SM, Lloyd RM, Marcus CL and Vaughn BV for the American Academy of sleep Medicine.
The AASM Manual for the scoring of sleep and Associated Events: Rules, Terminology and Technical Specifications, Version 2.3. www.aasmnet.org. Darien, Illinois: American