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Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit

Sleep disorders and circadian dysrhythmias are extremely prevalent in critically ill patients. Impaired sleep has a variety of etiologies, exhibits a wide range of negative effects and, moreover, might deteriorate the patient’s prognosis. Despite a number of scientific findings and increased awarene...

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Detalles Bibliográficos
Autores principales: Nilius, Georg, Richter, Matthias, Schroeder, Maik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8200142/
https://www.ncbi.nlm.nih.gov/pubmed/34135650
http://dx.doi.org/10.2147/NSS.S284846
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author Nilius, Georg
Richter, Matthias
Schroeder, Maik
author_facet Nilius, Georg
Richter, Matthias
Schroeder, Maik
author_sort Nilius, Georg
collection PubMed
description Sleep disorders and circadian dysrhythmias are extremely prevalent in critically ill patients. Impaired sleep has a variety of etiologies, exhibits a wide range of negative effects and, moreover, might deteriorate the patient’s prognosis. Despite a number of scientific findings and increased awareness, the importance of sleep optimization is still lower on the list of priories in the intensive care unit (ICU). The techniques of measuring and the evaluation of sleep quantity and quality are a great challenge in the ICU setting. The subjective and objective tools of sleep validation continue to suffer from deficiencies. Treatment approaches to improve the critically ill patient’s sleep have focused on non-pharmacologic and pharmacologic strategies with some promising results. But pharmacological interventions alone could not provide sufficient patient benefit. Being aware and knowing of sleep problems and the beneficial effect of the necessary therapies in ICU patients requires greater acceptance. The application of available methods and the development of new methods to prevent sleep disorders in the ICU offer the potential to improve the critically ill patient’s outcome.
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spelling pubmed-82001422021-06-15 Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit Nilius, Georg Richter, Matthias Schroeder, Maik Nat Sci Sleep Review Sleep disorders and circadian dysrhythmias are extremely prevalent in critically ill patients. Impaired sleep has a variety of etiologies, exhibits a wide range of negative effects and, moreover, might deteriorate the patient’s prognosis. Despite a number of scientific findings and increased awareness, the importance of sleep optimization is still lower on the list of priories in the intensive care unit (ICU). The techniques of measuring and the evaluation of sleep quantity and quality are a great challenge in the ICU setting. The subjective and objective tools of sleep validation continue to suffer from deficiencies. Treatment approaches to improve the critically ill patient’s sleep have focused on non-pharmacologic and pharmacologic strategies with some promising results. But pharmacological interventions alone could not provide sufficient patient benefit. Being aware and knowing of sleep problems and the beneficial effect of the necessary therapies in ICU patients requires greater acceptance. The application of available methods and the development of new methods to prevent sleep disorders in the ICU offer the potential to improve the critically ill patient’s outcome. Dove 2021-06-09 /pmc/articles/PMC8200142/ /pubmed/34135650 http://dx.doi.org/10.2147/NSS.S284846 Text en © 2021 Nilius et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Nilius, Georg
Richter, Matthias
Schroeder, Maik
Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title_full Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title_fullStr Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title_full_unstemmed Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title_short Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
title_sort updated perspectives on the management of sleep disorders in the intensive care unit
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8200142/
https://www.ncbi.nlm.nih.gov/pubmed/34135650
http://dx.doi.org/10.2147/NSS.S284846
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