Sleep in the intensive care unit
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 stag...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Pneumologia e Tisiologia
2015-12-01
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| Series: | Jornal Brasileiro de Pneumologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000600539&lng=en&tlng=en |
| _version_ | 1819050102697754624 |
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| author | Flávia Gabe Beltrami Xuân-Lan Nguyen Claire Pichereau Eric Maury Bernard Fleury Simone Fagondes |
| author_facet | Flávia Gabe Beltrami Xuân-Lan Nguyen Claire Pichereau Eric Maury Bernard Fleury Simone Fagondes |
| author_sort | Flávia Gabe Beltrami |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T11:42:43Z |
| format | Article |
| id | doaj.art-d2635ce751454f1697bb53e5749a10c1 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-21T11:42:43Z |
| publishDate | 2015-12-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-d2635ce751454f1697bb53e5749a10c12022-12-21T19:05:15ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562015-12-0141653954610.1590/S1806-37562015000000056S1806-37132015000600539Sleep in the intensive care unitFlávia Gabe BeltramiXuân-Lan NguyenClaire PichereauEric MauryBernard FleurySimone FagondesABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000600539&lng=en&tlng=enSonoPrivação do sonoUnidades de terapia intensiva |
| spellingShingle | Flávia Gabe Beltrami Xuân-Lan Nguyen Claire Pichereau Eric Maury Bernard Fleury Simone Fagondes Sleep in the intensive care unit Jornal Brasileiro de Pneumologia Sono Privação do sono Unidades de terapia intensiva |
| title | Sleep in the intensive care unit |
| title_full | Sleep in the intensive care unit |
| title_fullStr | Sleep in the intensive care unit |
| title_full_unstemmed | Sleep in the intensive care unit |
| title_short | Sleep in the intensive care unit |
| title_sort | sleep in the intensive care unit |
| topic | Sono Privação do sono Unidades de terapia intensiva |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000600539&lng=en&tlng=en |
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