The effectiveness of noise interventions in the ICU

Current Opinion in Anaesthesiology
Lori DelaneyFrank Van Haren

Abstract

Excessive noise has direct adverse physiological and psychological effects, and may also have indirect negative health consequences by reducing sleep quality and quantity. This review presents a synthesis of the epidemiology of noise in the ICU, and the potential interventions designed to attenuate noise and protect patients. Noise increases cortisol release, oxygen consumption, and vasoconstriction. ICU noise levels are excessive throughout the 24-h cycle, irrespective of level of intervention or whether the patient is in a side room or open ward. Direct measurement suggests that noise is a substantial contributor to poor sleep quantity and quality in the ICU and is frequently recalled by survivors of critical illness as a negative experience of ICU admission. Noise abatement, environmental masking and pharmacological interventions may all reduce the impact of noise on patients. However, the sustainability of behavioural interventions remains uncertain and high-quality evidence demonstrating the benefit of any intervention on patient-centered outcomes is lacking. Noise levels in the ICU are consistently reported to reach levels likely to have both direct and indirect adverse health consequences for both patients and staff. Noi...Continue Reading

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Citations

Dec 4, 2019·European Journal of Anaesthesiology·Kristof Nijs
Oct 28, 2019·Intensive Care Medicine·Biren B KamdarPeter E Spronk
Jul 6, 2020·Nursing in Critical Care·Aylin Aydın SayılanSamet Sayılan
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Jan 21, 2022·Nursing in Critical Care·Ignacio Morales-CanéPablo Jesús López-Soto

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