PedSleep - Sleep & Sleep Issues in the...

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Unformatted text preview: Sleep & Sleep Issues in the Pediatric Population Kids Sleep A lot Sleep is a common discussion point among parents and doctors Many Issues from birth to adolescence. SIDS Co-sleeping Night-wakenings Bed-wetting Nightmares Sleepwalking & Sleeptalking Timing of High School start times Sleep Physiology Wakefulness REM Indeterminate NREM Wakefulness Stage 1 NREM Waves Stage 2 NREM Sleep Spindles K-Complexes Stage 3 NREM 20-50 % Waves Stage 4 NREM > 50 % Waves Stage REM Alpha Waves Conjugate Eye Movements Sleep Stages Overnight NREM is more common in the first part of sleep. REM is more common in the latter half of sleep Childrens Sleep Architecture Differs from Adults More REM Earlier REM More frequent REM More Total Hours of Sleep REM & NREM Sleep by Age 2 4 6 8 10 12 14 16 18 1 - 3 M 3 - 5 M 6-23 M 2 - 3 Y 3 - 5 Y 5 - 9 Y 10-13 Y 14-18 Y 19-30 Y Total Hrs Sleep Total Daily Sleep by Age 2 4 6 8 10 12 14 16 18 1 - 3 M 3 - 5 M 6-23 M 2 - 3 Y 3 - 5 Y 5 - 9 Y 10-13 Y 14-18 Y 19-30 Y Total Hrs Sleep Sleep in Preemies Indeterminate Sleep Neither REM nor NREM Characterized by Delta Brushes and temporal spikes Predominant pattern at 34 wks Disappears by 3 months of age As gestational age increases maximum EEG sleep activity switches from temporal to frontal Indeterminate Sleep decreases Synchrony between the 2 hemispheres increases The preemies sleep legacy is easier arousal later on Normal Infant Sleep Patterns 18 hours a day, 50% REM, at birth Infants start sleep with REM Most sleep through night by 3 months...
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PedSleep - Sleep & Sleep Issues in the...

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