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Sleep Medicine
Sleep Medicine By Teofilo L. Lee-Chiong Jr, Michael J. Sateia, and Mary A. Carskadon, eds. Philadelphia, PA: Hanley & Belfus, Inc., 2002; 737 pp; $75.00
The rapid development of the field of sleep medicine over the last 3 decades has been paralleled by an explosion of medical books available on this subject. With respect to comprehensive sleep medicine textbooks, to my knowledge these include Kyger, Roth, and Dement's Principles and Practice of Sleep Medicine, which just appeared in its fourth edition; |
Chokroverty's Sleep Disorders Medicine Second Edition, dating back to 1999; Billiard's Sleep: Physiology, Investigations, and Medicine translated into English in 2003 but from an edition published in the original French in 1998; Carney, Geyer, and Berry's 2004 Clinical Sleep Disorders; and Sleep Medicine, edited by Teofilo L. Lee-Chiong Jr, Michael Sateia, and Mary A. Carskadon, published in 2002 and the subject of this review. To this group, one might add a plethora of textbooks aimed at a primary care audience, handbooks, concise or clinician's guides, review books, atlases, "pearls," reviews appearing in specialty "clinics" series, textbooks concentrating on smaller areas of sleep medicine (pediatrics, sleep apnea, epilepsy, and the like) and even Sleep Disorders for Dummies (which one may be permitted to hope is not aimed at a professional audience).
Whether by intention or serendipity, the editors of Sleep Medicine span the modern history of the field: Mary A. Carskadon, arguably one of the founders of the discipline; Michael J. Sateia, an active researcher and currently president of the American Academy of Sleep Medicine; and Teofilo L. Lee-Chiong Jr, an emerging scholar and leader in academic sleep medicine. They have assembled a list of authors responsible for the individual chapters that reads like a veritable "who's who" of the field, including Merrill Mitler, Mark Mahowald, M. Safwan Badr, Andrew Chesson Jr, and others too numerous to mention individually. The text is comprehensive, including not only the usual basic science and clinical topics in both adults and children, but also more esoteric subjects such as forensic sleep medicine, sleep-state-dependent auditory evoked potentials, and sleep as it relates to other medical conditions such as HIV/AIDS, endocrine disorders, and rheumatologic diseases. Coverage of the technology of studying sleep is also extensive, including the aforementioned auditory-evoked potentials as well as an entire chapter on respiratory monitoring, a chapter on actigrapliy, and so on. For the most part, the chapters are well written if somewhat dry, up-to-date, and free of typographical errors. Illustrations are in black-and-white, clearly reproduced, and adequate but not generous in number; they suffer mainly in comparison to the profuse and colorful figures appearing in the latest edition of Principles and Practice of Sleep Medicine (also a much more expensive volume).
Several chapters should be mentioned as especially praiseworthy. These include Sleep in Women From Adulthood Through Menopause by Moline, Broch, and Zak; Epidemiology, Consequences, and Evaluation of Insomnia by editor Sateia; Sleep and the Critically Ill Patient by Morales and Ballard (but a bit too short and does not mention the parasomnias that may emerge in the ICU patient); and several of the chapters in the sleep-disordered breathing section: Snoring and Sleep-Disordered Breathing by Collop and Cassell, Central Sleep Apnea by Badr, and Upper Airway Imaging in Obstructive Sleep Apnea by Schwab, Arens, and Ritter.
However, some limitations were also apparent in several areas. The overview of sleep and wakefulness disorders in Chapter 16 mentions nocturnal paroxysmal dystonia but does not point out the likelihood that this is, in many cases, a seizure disorder. The chapter covering pharmacologic treatment of insomnia could benefit from a discussion of the economic drivers of hypnotic choice. A discussion of forensic aspects of parasomnias belongs in either Chapter 16 (Forensic Sleep Medicine) or Chapters 24 and 25 (Arousal and Sleep-Wake Transition Parasomnias and REM-Sleep-Associated Parasomnias, respectively) rather than just listing a single reference, as in Chapter 24. A discussion of the physician's role in determining fitness for driving, flying, or operating heavy machinery, how this can be evaluated in the sleep laboratory, and legal and ethical responsibilities for reporting in this area would have been a welcome addition to Chapter 16. Coverage of obesity hypoventilation syndrome in Chapter 36 was lamentably brief, and the authors' instruction to seek additional information on this subject in Chapter 41 unfortunately did not lead to a more detailed discussion. Surprisingly, the chapter on GI function and sleep does not mention gastroesophageal reflux induced by obstructive sleep apnea.
Averaged over the body of work represented by 737 pages of text, these are somewhat minor quibbles. Overall, Sleep Medicine impressed this reader as an excellent text, and a veritable bargain at the price being asked. I have found myself using it in many different situations: as a reference book, when a concise review of a topic is needed during the course of our sleep fellowship program, and as a tool for cross-checking information contained in other sleep textbooks. It will no doubt find its place as a resource for the non-sleep medicine resident or fellow taking a sleep elective, the individual matriculating in a sleep fellowship, or the physician practicing sleep medicine. |
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