Fatigue Management: Principles and Practices for Improving Workplace Safety

225 Pages·2018·3.366 MB·English

by  Amir Sharafkhaneh, Max Hirshkowitz

Fatigue
Management
Principles and Practices for
Improving Workplace Safety
Amir Sharafkhaneh
Max Hirshkowitz
Editors
123
Fatigue Management
Amir Sharafkhaneh
Max Hirshkowitz
Editors
Fatigue Management
Principles and Practices for Improving
Workplace Safety
Editors
Amir Sharafkhaneh, MD, PhD Max Hirshkowitz, PhD
Department of Medicine Division of Public Mental Health and
Baylor College of Medicine Population Sciences
Houston, TX School of Medicine
USA Stanford University
Stanford, CA
Medical Care Line, Michael E. DeBakey
USA
VA Medical Center
Houston, TX Department of Medicine
USA Baylor College of Medicine
Houston, TX
USA
ISBN 978-1-4939-8605-7 ISBN 978-1-4939-8607-1 (eBook)
https://doi.org/10.1007/978-1-4939-8607-1
Library of Congress Control Number: 2018947827
© Springer Science+Business Media, LLC, part of Springer Nature 2018
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Preface
In humans, sleepiness and fatigue represent two intertwined phenomena. While we
recognize their differences, the terms are often used interchangeably. Living and
working in a modern industrialized society involves engaging in many attention-
intensive tasks. Some of these tasks demand sustained effort and lapses confer risk
to the individual, coworkers, and/or the public. To help mitigate such risks, fatigue
risk management procedures and occupational sleep medicine programs have
evolved.
In this book, we discuss various factors including medical, neurological, psychi-
atric, and psychological factors underlying fatigue and sleepiness. Additionally, the
authors review current fatigue and sleep management approaches.
The book begins with an overview of the concepts and definitions of fatigue. In
Chap. 1, the editors provide a historical perspective on sleepiness and fatigue. Dr.
Rose discusses the definitions and classifications of fatigue in Chap. 2. In the next
two chapters, major authors in this field discuss assessments of fatigue in the labora-
tory (Drs. Bonnet and Arand in Chap. 3), in the field (Dr. Rose in Chap. 4), and in
the clinical settings.
The book continues by exploring medical causes of fatigue. Drs. Primeau and
Kushida discuss sleep disorders and fatigue in detail. Drs. Hirschowitz and
Sharafkhaneh discuss how fatigue can be assessed in the clinical context. Drs.
Ahmed and Thorpy discuss medical, neurological, and psychiatric conditions linked
with fatigue. Drs. Sharafkhaneh, Rose, and Hirshkowitz then focus on medication
and recreational agents that may result in fatigue. Chapter 9 by Drs. Won, Mohsenin,
and Kryger explore treatment of sleep-related breathing disorders and how it may
affect fatigue. Sleep disorders and fatigue continue in Chap. 10 by Drs. Masri, Jain,
and Guilleminault with discussions about treating narcolepsy and hypersomnia. Dr.
Herman discusses in more depth various aspects of sleep including circadian rhythm
and fatigue. Drs. Maoghtader, Kanbar-agha, and Sharafhkaneh discuss the treat-
ment of heart failure and improvement in fatigue. Finally, Drs. Bird and Alapat
discuss management of fatigue in hospitalized patients. In Chap. 14, Drs.
Alemohammad and Sadeghniiat-Haghighi discuss the issue of fatigue in the
v
vi Preface
workplace. The final chapter provides an overall approach to the management of
fatigue by Drs. Hirshkowitz and Sharafkhaneh.
It is our hope that this book will prove useful to practitioners involved in fatigue
management. We strive to include information concerning a comprehensive
approach to the issues involved. This approach attempts to augment and supplement
existing paradigms for fatigue management and occupational sleep medicine pro-
grams. Ultimately, we anticipate that the information communicated in the book
will benefit our patients struggling against fatigue and sleepiness to live more pro-
ductive and better quality lives.
Houston, TX, USA Amir Sharafkhaneh, MD, PhD
Stanford, CA, USA Max Hirshkowitz, PhD
Houston, TX, USA
Contents
1 Historical Perspective on Sleepiness and Fatigue-Related
Accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Max Hirshkowitz and Amir Sharafkhaneh
2 Fatigue: Definitions and Classifications . . . . . . . . . . . . . . . . . . . . . . . . 7
Mary Rose
3 Studies of Fatigue and Human Performance
in the Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Michael H. Bonnet and Donna L. Arand
4 Studies of Fatigue and Human Performance in the Field . . . . . . . . . . 29
Mary Rose
5 Studies of Fatigue and Human Performance in Patients
with Sleep Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Michelle Primeau and Clete Kushida
6 Fatigue: Clinical and Laboratory Assessment . . . . . . . . . . . . . . . . . . . 53
Max Hirshkowitz and Amir Sharafkhaneh
7 Clinical Assessment of Medical, Neurological,
and Psychiatric Conditions Associated with Fatigue . . . . . . . . . . . . . . 69
Imran Ahmed and Michael Thorpy
8 Assessment of Medication and Recreational Drugs Associated
with Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Amir Sharafkhaneh, Mary Rose, and Max Hirshkowitz
9 Treating Sleep-Related Breathing Disorders . . . . . . . . . . . . . . . . . . . . 105
Christine H. Won, Vahid Mohsenin, and Meir Kryger
vii
viii Contents
10 Treating Narcolepsy and Idiopathic Hypersomnia . . . . . . . . . . . . . . . 125
Tony J. Masri, Vikas Jain, and Christian Guilleminault
11 Assessment of Sleep Duration, Sleep Habits,
Napping, and Circadian Rhythms in the Patient
Complaining of Fatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
John Herman
12 Treating Fatigue in Patients with Chronic Heart
and Lung Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Shahram Moghtader, Faisal Kanbar-Agha,
and Amir Sharafkhaneh
13 Fatigue Management in the Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Garrett Bird and Philip Alapat
14 Risk of Fatigue at Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Zahra Banafsheh Alemohammad and Khosro Sadeghniiat-Haghighi
15 Fatigue Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Max Hirshkowitz and Amir Sharafkhaneh
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Contributors
Imran Ahmed, MD Department of Neurology, Sleep-Wake Disorders Center,
Montefiore Medical Center, Bronx, NY, USA
Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA
Philip Alapat, MD Department of Medicine – Pulmonary/Critical Care/Sleep,
Baylor College of Medicine, Houston, TX, USA
Zahra Banafsheh Alemohammad, MD Occupational Sleep Research Center,
Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
Donna L. Arand, PhD Kettering Health Network, Dayton, OH, USA
Garrett Bird, MD, CM Department of Pulmonary, Critical Care, Sleep, Steward
Health Care, West Jordan, UT, USA
Michael H. Bonnet, PhD Wright State University Boonshoft School of Medicine,
Kettering Sycamore Sleep Disorders Center, Miamisburg, OH, USA
Christian Guilleminault, MD, D Bio Stanford University Division of Sleep
Medicine, Redwood City, CA, USA
John Herman, PhD, FAASM UT Southwestern Medical Center, Dallas, TX, USA
Max  Hirshkowitz, PhD Division of Public Mental Health and Population
Sciences, School of Medicine, Stanford University, Stanford, CA, USA
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Vikas Jain, MD, FAASM, CCSH Stanford University Division of Sleep Medicine,
Redwood City, CA, USA
Faisal  Kanbar-Agha, MD Sleep Disorders and Research Center, Michael
E. DeBakey VA Medical Center, Houston, TX, USA
Meir Kryger, MD Yale University School of Medicine, Section of Pulmonary and
Critical Care Medicine, New Haven, CT, USA
ix
x Contributors
Veterans Affairs Connecticut Health Care System, West Haven, CT, USA
Clete Kushida, MD, PhD, RPSGT Stanford Sleep Medicine Center, Redwood
City, CA, USA
Tony J. Masri, MD Stanford University Division of Sleep Medicine, Redwood
City, CA, USA
Shahram Moghtader, MD Section of Pulmonary and Critical Care and Sleep
Medicine, Baylor College of Medicine, Houston, TX, USA
Sleep Disorders and Research Center, Michael E. DeBakey VA Medical Center,
Houston, TX, USA
Vahid Mohsenin, MD Yale University School of Medicine, Section of Pulmonary
and Critical Care Medicine, New Haven, CT, USA
Michelle Primeau, MD Stanford Sleep Medicine Center, Redwood City, CA,
USA
Mary Rose, PsyD Department of Medicine, Pulmonary, Critical Care and Sleep
Section, Baylor College of Medicine and The Michael E. DeBakey Veterans
Administration Hospital, Houston, TX, USA
Khosro  Sadeghniiat-Haghighi, MD Occupational Sleep Research Center,
Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
Amir Sharafkhaneh, MD, PhD Department of Medicine, Baylor College of
Medicine, Houston, TX, USA
Medical Care Line, Michael E. DeBakey VA Medical Center, Houston, TX, USA
Michael Thorpy, MD Department of Neurology, Sleep-Wake Disorders Center,
Montefiore Medical Center, Bronx, NY, USA
Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA
Christine H. Won, MD, MS Yale University School of Medicine, Section of
Pulmonary and Critical Care Medicine, New Haven, CT, USA
Veterans Affairs Connecticut Health Care System, West Haven, CT, USA