Sleep Assessment in Critically Ill Patients With Acute Hypoxemic Respiratory Failure

Thille, Arnaud W.; Marié, Damien; Reynaud, Faustine; Barrau, Stéphanie; Beuvon, C.; Bironneau, Vanessa; Jutant, Étienne-Marie; Coudroy, Rémi; Frat, Jean‐Pierre; Rault, Christophe; Drouot, Xavier

doi:10.4187/respcare.10844

Cited by 1 publication

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“…While loss of deep sleep and REM stages is also associated with medications frequently administered in the ICU (such as sedatives, analgesics, and pressors), these findings persist in those who have been off sedation for an average of 3 days ( 52 ). Even patients without extreme illness (Acute Physiologic and Chronic Health Evaluation Score II of nine or less), who are sedative naïve ( 53 ), and non-ventilated requiring ICU care are noted to have decreased sleep efficiency with frequent cortical arousals, relatively increased stage 1 sleep, decreased N2 and N3, and absence of REM sleep ( 54 ).…”

Section: Critical Illness and Sleepmentioning

confidence: 99%

Sleep and critical illness: a review

Eschbach,

Wang

2023

Front. Med.

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Critical illness and stays in the Intensive Care Unit (ICU) have significant impact on sleep. Poor sleep is common in this setting, can persist beyond acute critical illness, and is associated with increased morbidity and mortality. In the past 5 years, intensive care clinical practice guidelines have directed more focus on sleep and circadian disruption, spurring new initiatives to study and improve sleep complications in the critically ill. The global SARS-COV-2 (COVID-19) pandemic and dramatic spikes in patients requiring ICU level care also brought augmented levels of sleep disruption, the understanding of which continues to evolve. This review aims to summarize existing literature on sleep and critical illness and briefly discuss future directions in the field.

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Section: Critical Illness and Sleepmentioning

confidence: 99%