267 Perioperative sleep study in geriatric cardiac surgical patients using wireless wearable devices

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A107-A107
Author(s):  
MohammadMehdi Kafashan ◽  
Alyssa Labonte ◽  
Kendall Smith ◽  
Christian Guay ◽  
Orlandrea Hyche ◽  
...  
Keyword(s):  
Eye Movement ◽  
Large Scale ◽  
Early Postoperative Period ◽  
Perioperative Outcomes ◽  
Rank Test ◽  
Rapid Eye Movement ◽  
Nocturnal Sleep ◽  
Sleep Structure ◽  
Sleep Study ◽  
Wireless Eeg

Abstract Introduction Sleep is a fundamental necessity for health and is commonly disrupted in the perioperative period. Technological improvements leveraging dry electroencephalographic (EEG) sensors have opened the door for large-scale quantitative assessments of sleep in relation to perioperative outcomes. Methods Patients utilized the Dreem (Rhythm, New York USA), a wireless EEG headband, to acquire their own preoperative nocturnal sleep records at home. Following cardiac surgery, postoperative recordings were obtained with staff assistance until postoperative night 7. Sleep records were scored as rapid eye movement (REM) and non-rapid eye movement (NREM) stages N1-N3, using modified American Academy of Sleep Medicine guidelines. Results Of 100 patients enrolled for perioperative sleep recordings, 74 patients provided 132 preoperative records; 80% were scorable with a median total sleep time (TST) of 209.8 minutes. TST was distributed as 8.3% N1, 70.6% N2, 2.1% N3 and 19% REM, consistent with expected sleep structure in geriatric populations. EEG markers for staging sleep were evaluated in the scorable records: 92% with sleep spindles, 98% with K-complexes, 69% with slow waves, 92% with sawtooth waves, and 80% with rapid eye movements. Among 26 patients with multiple preoperative sleep recordings, no significant within-subject differences in sleep structure were observed (all p > 0.05, paired Wilcoxon sign-rank test). 270 postoperative nocturnal sleep recordings were obtained from 83 patients, 70% of which were scorable. TST in scorable postoperative records was distributed as 14.9% N1, 78.6% N2, 0.9% N3 and 5.6% REM. Durations of REM and N3 sleep were significantly reduced in postoperative (POD 1-4) overnight recordings compared to preoperative measurements (Skillings–Mack test, p < 0.001 and p = 0.02 for REM and N3, respectively). Conclusion Wireless EEG devices enhance the feasibility of assaying perioperative sleep. A single night of unattended, ambulatory sleep monitoring is sufficient to establish a preoperative baseline. Multiple preoperative and postoperative sleep studies were tolerated by patients, which showed reductions of N3 and REM sleep in the early postoperative period. This study demonstrates the feasibility of using the Dreem for monitoring sleep macro- and microstructural EEG elements in the perioperative setting. Support (if any):

scholarly journals Development of a Large-Scale Functional Brain Network during Human Non-Rapid Eye Movement Sleep

2010 ◽  
Vol 30 (34) ◽  
pp. 11379-11387 ◽  
Author(s):  
V. I. Spoormaker ◽  
M. S. Schroter ◽  
P. M. Gleiser ◽  
K. C. Andrade ◽  
M. Dresler ◽  
...  
Keyword(s):  
Eye Movement ◽  
Large Scale ◽  
Brain Network ◽  
Rapid Eye Movement ◽  
Rapid Eye Movement Sleep ◽  
Functional Brain ◽  
Functional Brain Network

scholarly journals PENGARUH TERAPI MASSAGE PUNGGUNG TERHADAP PENINGKATAN KUALITAS TIDUR PADA LANSIA DI PANTI JOMPO YAYASAN GUNA BUDI BAKTI MEDAN TAHUN 2020

2020 ◽  
Vol 6 (2) ◽  
pp. 93-98
Author(s):  
Hajrah Ainun ◽  
Gregorius Benard Ndruru ◽  
Krisna Yuliriska Baeha ◽  
Sunarti
Keyword(s):  
Eye Movement ◽  
Rank Test ◽  
P Value ◽  
Rapid Eye Movement ◽  
Probability Sampling ◽  
Purposive Sampling ◽  
Wilcoxon Rank Test

Tidur merupakan suatu kegiatan otak secara relatif tanpa sadar dapat menimbulkan situasi yang penuh dengan ketenangan dan tanpa adanya kegiatan sehingga terjadinya urutan siklus berulang-ulang dan memiliki fase yang berbeda- beda, tidur juga memiliki dua tahapan yaitu nonrapid eye movement (NREM) dan rapid eye movement (REM), kualitas tidur yang efektif kurang lebih 6 jam perhari. Kualitas tidur merupakan suatu pertahanan maupun kemampuan seseorang untuk memepertahankan kondisi tidurnya agar mempunyai kualitas kebutuhan tidur yang dapat disesuaikan dengan tidur yang diperlukan. Pada lansia umumnya memiliki kualitas tidur sudah menurun, maka digunakan pengobatan komplementer yaitu massage punggung untuk meningkatkan derajat kesehatan yaitu meningkatkan kualitas tidur. Tujuan penelitian ini untuk menganalisis peningkatan kualitas tidur lansia yang mengalami insomnia atau kesulitan tidur di Panti Jompo Yayasan Guna Budi Bakti Medan Tahun 2020, jenis  penelitian adalah pre-eksperiment dengan rancangan one group pretest-posttest design, jumlah sampel sebanyak 20 responden dengan menggunakan teknik non- probability sampling yaitu teknik purposive sampling. Hasil penelitian menunjukkan bahwa da peningkatan kualitas tidur atau menurunnya tingkat insomnia pada lansia melalui massage punggung dengan nilai p value = 0,000 melalui uji wilcoxon rank test. Berdasarkan hasil penelitian, diharapkan lansia yang mengalami insomnia dapat menjadikan massage  punggung sebagai penatalaksanaan non farmakologi untuk meningkatkan kualitas tidur.

scholarly journals Dexmedetomidine-induced deep sedation mimics non-rapid eye movement stage 3 sleep: large-scale validation using machine learning

SLEEP ◽  
2020 ◽  
Author(s):  
Sowmya M Ramaswamy ◽  
Maud A S Weerink ◽  
Michel M R F Struys ◽  
Sunil B Nagaraj
Keyword(s):  
Machine Learning ◽  
Random Forest ◽  
Eye Movement ◽  
Large Scale ◽  
Deep Sedation ◽  
Sleep Eeg ◽  
Rapid Eye Movement ◽  
Sleep Patterns ◽  
Natural Sleep ◽  
Eeg Recordings

Abstract Study Objectives Dexmedetomidine-induced electroencephalogram (EEG) patterns during deep sedation are comparable with natural sleep patterns. Using large-scale EEG recordings and machine learning techniques, we investigated whether dexmedetomidine-induced deep sedation indeed mimics natural sleep patterns. Methods We used EEG recordings from three sources in this study: 8,707 overnight sleep EEG and 30 dexmedetomidine clinical trial EEG. Dexmedetomidine-induced sedation levels were assessed using the Modified Observer’s Assessment of Alertness/Sedation (MOAA/S) score. We extracted 22 spectral features from each EEG recording using a multitaper spectral estimation method. Elastic-net regularization method was used for feature selection. We compared the performance of several machine learning algorithms (logistic regression, support vector machine, and random forest), trained on individual sleep stages, to predict different levels of the MOAA/S sedation state. Results The random forest algorithm trained on non-rapid eye movement stage 3 (N3) predicted dexmedetomidine-induced deep sedation (MOAA/S = 0) with area under the receiver operator characteristics curve >0.8 outperforming other machine learning models. Power in the delta band (0–4 Hz) was selected as an important feature for prediction in addition to power in theta (4–8 Hz) and beta (16–30 Hz) bands. Conclusions Using a large-scale EEG data-driven approach and machine learning framework, we show that dexmedetomidine-induced deep sedation state mimics N3 sleep EEG patterns. Clinical Trials Name—Pharmacodynamic Interaction of REMI and DMED (PIRAD), URL—https://clinicaltrials.gov/ct2/show/NCT03143972, and registration—NCT03143972.

Large-scale functional brain networks in human non-rapid eye movement sleep: insights from combined electroencephalographic/functional magnetic resonance imaging studies

2011 ◽  
Vol 369 (1952) ◽  
pp. 3708-3729 ◽  
Author(s):  
Victor I. Spoormaker ◽  
Michael Czisch ◽  
Pierre Maquet ◽  
Lutz Jäncke
Keyword(s):  
Functional Connectivity ◽  
Eye Movement ◽  
Large Scale ◽  
Brain Plasticity ◽  
Experimental Studies ◽  
Nrem Sleep ◽  
Rapid Eye Movement ◽  
Functional Brain ◽  
Functional Brain Network ◽  
Spontaneous Oscillations

This paper reviews the existing body of knowledge on the neural correlates of spontaneous oscillations, functional connectivity and brain plasticity in human non-rapid eye movement (NREM) sleep. The first section reviews the evidence that specific sleep events as slow waves and spindles are associated with transient increases in regional brain activity. The second section describes the changes in functional connectivity during NREM sleep, with a particular focus on changes within a low-frequency, large-scale functional brain network. The third section will discuss the possibility that spontaneous oscillations and differential functional connectivity are related to brain plasticity and systems consolidation, with a particular focus on motor skill acquisition. Implications for the mode of information processing per sleep stage and future experimental studies are discussed.

scholarly journals Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data

2021 ◽  
Vol 10 (21) ◽  
pp. 5206
Author(s):  
Yen-Chin Chen ◽  
Chang-Chun Chen ◽  
Patrick J. Strollo ◽  
Chung-Yi Li ◽  
Wen-Chien Ko ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Eye Movement ◽  
Sleep Disturbances ◽  
Sleep Disordered Breathing ◽  
Behavior Disorder ◽  
Movement Behavior ◽  
Rapid Eye Movement ◽  
Sleep Study ◽  
Psychological Disturbances ◽  
Disordered Breathing

Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in this population. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods: The study evaluated 170 men with a Pittsburgh sleep quality index scores greater than 5, including 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (±3.0 years) and BMI (±3.0 kg/m2). For all participants, an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or chi-square tests. Results: HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, p < 0.001) and suspected rapid eye movement behavior disorder (25.0% vs. 4.8%, p < 0.01) than controls. Sleep-disordered breathing was less common in HIV-infected persons than in controls (56.8% vs. 87.3%, p < 0.001). The mean percentage of rapid eye movement sleep was higher among HIV-infected patients than among controls (20.6% vs. 16.6%, p < 0.001). Nocturia was more common in HIV-infected persons than in controls (40.9% vs. 22.2%, p = 0.02). Conclusions: Psychological disturbances and sleep-disordered breathing can be possible explanations of sleep disturbances in HIV-infected persons in whom sleep-disordered breathing is notable. Further studies are warranted to examine the underlying factors of rapid eye movement behavior disorder among HIV-infected persons with sleep disturbances.

scholarly journals Nocturnal Sleep Onset Rapid Eye Movement Sleep Periods as a Predictor of the Severity of Narcolepsy in Korea

2020 ◽  
Vol 11 (1) ◽  
pp. 19-24
Author(s):  
Jihyun Song ◽  
Tae-Won Kim ◽  
Sung Min Kim ◽  
Yoo Hyun Um ◽  
Jong-Hyun Jeong ◽  
...  
Keyword(s):  
Eye Movement ◽  
Sleep Onset ◽  
Rapid Eye Movement ◽  
Rapid Eye Movement Sleep ◽  
Nocturnal Sleep

scholarly journals Characteristics of patients with rapid eye movement-related obstructive sleep apnea: a retrospective review of 52 patients at a tertiary care center

2020 ◽  
Vol 8 (1) ◽  
pp. 42
Author(s):  
Muhannad Hawari ◽  
Mohamad Gayath Jamil ◽  
Sanaa Hemideh ◽  
Ayman Alharbi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Eye Movement ◽  
Retrospective Review ◽  
Care Center ◽  
Tertiary Care ◽  
Rapid Eye Movement ◽  
Sleep Study ◽  
Obstructive Sleep ◽  
Tertiary Center

Background: The term “rapid eye movement (REM)-related obstructive sleep apnea (OSA)” is commonly used to describe sleep disordered breathing that occurs exclusively in REM sleep. The prevalence of REM-related OSA ranges from 10% to 36%. Despite the presence of reports describing the features of REM-related OSA, there is still much more to be known about it.Methods: In this study we did retrospective review of 734 patients who had a diagnostic sleep study in a sleep lab at a tertiary center between January 2014 and August 2016 were reviewed.Results: We found that hypertension was found in the charts of 50 patients, 36 of them were diagnosed with hypertension and on medical therapy (72%), 11 patients (out of 50) had diabetes (22%) and 9 (out of 49) had dyslipidemia. 2 patients (out of 49) had Ischemic heart disease (4%), 1 patient (out of 49) had stroke (2%) and 3 patients (out of 49) had arrhythmias (6%). 8 patients (out of 49) had thyroid disease (16%).Conclusions: In conclusion Most patients had mild REM related OSA and most did not have subjective EDS. Hypertension was the most common comorbidity among our patients.

Geniohyoid muscle activity in normal men during wakefulness and sleep

1990 ◽  
Vol 69 (4) ◽  
pp. 1262-1269 ◽  
Author(s):  
D. A. Wiegand ◽  
B. Latz ◽  
C. W. Zwillich ◽  
L. Wiegand
Keyword(s):  
Eye Movement ◽  
Rem Sleep ◽  
Muscle Activity ◽  
Sleep Stage ◽  
Upper Airway ◽  
Rapid Eye Movement ◽  
Nasal Breathing ◽  
Sleep Study ◽  
Pharyngeal Airway ◽  
Normal Men

Reduction in the activity of upper airway "dilator" muscles during sleep may allow the pharyngeal airway to collapse in some individuals. However, quantitative studies concerning the effect of sleep on specific upper airway muscles that may influence pharyngeal patency are sparse and inconclusive. We studied seven normal men (mean age 27, range 22-37 yr) during a single nocturnal sleep study and recorded sleep staging parameters, ventilation, and geniohyoid muscle electromyogram (EMGgh) during nasal breathing throughout the night. Anatomic landmarks for placement of intramuscular geniohyoid recording electrodes were determined from a cadaver study. These landmarks were used in percutaneous placement of wire electrodes, and raw and moving-time-averaged EMGgh activities were recorded. Sleep stage was determined using standard criteria. Stable periods of wakefulness and non-rapid-eye-movement (NREM) and rapid-eye-movement (REM) sleep were selected for analysis. The EMGgh exhibited phasic inspiratory activity during wakefulness and sleep in all subjects. In six of seven subjects, mean and peak inspiratory EMGgh activities were significant (P less than 0.05) reduced during stages 2 and 3/4 NREM sleep and REM sleep compared with wakefulness. This reduction of EMGgh activity was shown to result from a sleep-related decline in the level of tonic muscle activity. Phasic inspiratory EMGgh activity during all stages of sleep was not significantly different from that during wakefulness. Of interest, tonic, phasic, and peak EMGgh activities were not significantly reduced during REM sleep compared with any other sleep stage in any subject. In addition, the slope of onset of phasic EMGgh activity was not different during stage 2 NREM and REM sleep compared with wakefulness in these subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Sign in / Sign up

Export Citation Format

Share Document