Sleep in the intensive care unit

Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Flávia Gabe BeltramiSimone Fagondes

Abstract

Poor sleep quality is a consistently reported by patients in the ICU. In such a potentially hostile environment, sleep is extremely fragmented and sleep architecture is unconventional, with a predominance of superficial sleep stages and a limited amount of time spent in the restorative stages. Among the causes of sleep disruption in the ICU are factors intrinsic to the patients and the acute nature of their condition, as well as factors related to the ICU environment and the treatments administered, such as mechanical ventilation and drug therapy. Although the consequences of poor sleep quality for the recovery of ICU patients remain unknown, it seems to influence the immune, metabolic, cardiovascular, respiratory, and neurological systems. There is evidence that multifaceted interventions focused on minimizing nocturnal sleep disruptions improve sleep quality in ICU patients. In this article, we review the literature regarding normal sleep and sleep in the ICU. We also analyze sleep assessment methods; the causes of poor sleep quality and its potential implications for the recovery process of critically ill patients; and strategies for sleep promotion.

References

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Citations

Jan 25, 2017·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Flávio Maciel Dias de Andrade, Rodrigo Pinto Pedrosa
Jan 25, 2017·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Rogerio Souza
Mar 2, 2018·Journal of Clinical Nursing·Silvio SimeoneGabriele Iannelli
Aug 18, 2017·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Annamma SteaphenSonja E Stutzman
Dec 6, 2018·Revista latino-americana de enfermagem·Juliana Prado Biani ManzoliErika Christiane Marocco Duran
Sep 11, 2020·Acute and Critical Care·Jae Kyoung KimJinwoo Lee
Aug 2, 2019·Sleep & Breathing = Schlaf & Atmung·Rogleson Albuquerque BritoPedro Felipe Carvalhedo de Bruin
Feb 7, 2019·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Rogério Souza
Dec 10, 2020·Nursing in Critical Care·Katarzyna LisBożena Czarkowska-Pączek
Nov 17, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Ayyüce Tuba Koçak, Selda Arslan
Jan 25, 2019·Nursing·Linda DobsonDaiWai M Olson
Jan 9, 2021·SAGE Open Nursing·Johan LundgrenCharlotte Angelhoff
Jan 12, 2021·Critical Care Research and Practice·Abhilasha ChaudharyNeetu Neetu
Jul 13, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Maria SundstrømMarianne Trygg Solberg
Aug 10, 2021·Sleep and Vigilance·Juvva Kishan SrikanthNitesh Gupta
Aug 31, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Jeehye JunPatricia E Hershberger
Dec 23, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Flávia Gabe BeltramiSimone Chaves Fagondes

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