Impact Of Environmental Factors On The Occurrence Of Delirium And Perception Of Sleep Quality In Critically Ill Patients Following Surgery

2011 ◽  
Author(s):  
Pablo Herscovici ◽  
Tanya D. Garcia ◽  
Thomas H. Gouge ◽  
Beno W. Oppenheimer
Keyword(s):  
Environmental Factors ◽  
Sleep Quality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Perception Of Sleep

scholarly journals Discomforts in Critically ill Patients: Our Experience in Intensive Care Unit of a Tertiary Care Hospital in India

2021 ◽  
Author(s):  
Reetu Verma ◽  
Sasmita Panda ◽  
Rajeev Kumar Nishad
Keyword(s):  
Intensive Care ◽  
Environmental Factors ◽  
Critically Ill ◽  
Nursing Care ◽  
Critically Ill Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Icu Patients ◽  
Common Cause

Introduction: Patients admitted in the Intensive Care Units (ICUs) experiences various discomforts which may be recognised or unrecognised. These discomforts may arise from the environment, may be related to the ICU care and discomfort related to the health status of the patient and critical care interventions. Aim: To identify the various discomforts in ICU patients, to classify them with respective causes, identify the most common cause among them and whether ICU sedation helps in reducing discomforts. Materials and Methods: This observational study was conducted from 15th July to 15th October 2018 on 120 mixed ICU patients in a Tertiary Care Hospital in India. Patients who were admitted to ICU for more than 24 hours, aged 18 years and above, those who gave written informed consent were observed and enquired for any discomfort. Discomforts have been identified and recorded by a fulltime intensivist by direct observation, by interacting with the patients and asking the family members and others (indirect approach). Through this study discomforts of critically ill patients were broadly classified into four categories 1. Due to existing illness, 2. Due to ICU interventions, 3. Due to improper nursing care and 4. Due to environmental factors. Results: Out of 120 patients studied, 84 patients (70%) reported some kind of discomfort during their ICU stay. Existing illness was the most common cause of discomfort, 80 patients (66.6%) suffered due to it. ICU interventions was the second most common cause, 71 patients (59.1%) had discomfort due to interventions. Thirty five patients (29.1%) suffered due to improper nursing care and 25 patients (20.8%) suffered due to the environmental factors. In this study, it was observed that sedation reduces all kind of discomforts. conclusion: In this study 70% of patients, who were admitted to ICU due to various illness reported some kind of discomfort. The most common cause of ICU discomforts was existing illness followed by ICU interventions. In this study it was observed that sedation reduces all kind of discomforts. Sedated patients tolerate the endotracheal tube better and they had less environmental and procedure related discomforts. With the present study observation it can be suggested that ICU charts of nurses and doctors can carry a separate column for mentioning discomforts in different duty shifts. However, with the use of appropriate analgesia and sedation discomfort can be reduced.

Impact of a white noise app on sleep quality among critically ill patients

2021 ◽  
Author(s):  
Evansaralin Warjri ◽  
Fatima Dsilva ◽  
Thankappan S. Sanal ◽  
Abhishek Kumar
Keyword(s):  
Sleep Quality ◽  
White Noise ◽  
Critically Ill ◽  
Critically Ill Patients

scholarly journals Effects of Dexmedetomidine on Sleep Quality in Critically Ill Patients

2014 ◽  
Vol 121 (4) ◽  
pp. 801-807 ◽  
Author(s):  
Christina Alexopoulou ◽  
Eumorfia Kondili ◽  
Eleni Diamantaki ◽  
Charalambos Psarologakis ◽  
Sofia Kokkini ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Sleep Efficiency ◽  
Night Time ◽  
Fragmentation Index ◽  
Level 1 ◽  
Light Sedation ◽  
Stage 1 ◽  
Dexmedetomidine Infusion

Abstract Background: Dexmedetomidine, a potent α-2-adrenergic agonist, is widely used as sedative in critically ill patients. This pilot study was designed to assess the effect of dexmedetomidine administration on sleep quality in critically ill patients. Methods: Polysomnography was performed on hemodynamically stable critically ill patients for 57 consecutive hours, divided into three night-time (9:00 pm to 6:00 am) and two daytime (6:00 am to 9:00 pm) periods. On the second night, dexmedetomidine was given by a continuous infusion targeting a sedation level −1 to −2 on the Richmond Agitation Sedation Scale. Other sedatives were not permitted. Results: Thirteen patients were studied. Dexmedetomidine was given in a dose of 0.6 μg kg−1 h−1 (0.4 to 0.7) (median [interquartile range]). Compared to first and third nights (without dexmedetomidine), sleep efficiency was significantly higher during the second night (first: 9.7% [1.6 to 45.1], second: 64.8% [51.4 to 79.9], third: 6.9% [0.0 to 17.1], P < 0.002). Without dexmedetomidine, night-time sleep fragmentation index (7.6 events per hour [4.8 to 14.2]) and stage 1 of sleep (48.0% [30.1 to 66.4]) were significantly higher (P = 0.023 and P = 0.006, respectively), and stage 2 (47.0% [27.5 to 61.2]) showed values lower (P = 0.006) than the corresponding values (2.7 events per hour [1.6 to 4.9], 13.1% [6.2 to 23.6], 80.2% [68.9 to 92.8]) observed with dexmedetomidine. Without sedation, sleep was equally distributed between day and night, a pattern that was modified significantly (P = 0.032) by night-time dexmedetomidine infusion, with more than three quarters of sleep occurring during the night (79% [66 to 87]). Conclusion: In highly selected critically ill patients, dexmedetomidine infusion during the night to achieve light sedation improves sleep by increasing sleep efficiency and stage 2 and modifies the 24-h sleep pattern by shifting sleep mainly to the night.

A Preliminary Study on the Utility of Root® with SedLine® for Sleep Evaluation in Critically Ill Patients: Comparison With Polysomnography and the Richards−Campbell Sleep Questionnaire

2020 ◽  
Author(s):  
Kanae Nagatomo ◽  
Masamitsu Sanui ◽  
Tomoyuki Masuyama ◽  
Yusuke Iizuka ◽  
Jun Makino ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Medical Information ◽  
University Hospital ◽  
Nocturnal Sleep ◽  
Subjective Sleep Quality ◽  
Sleep Questionnaire ◽  
Valid Instrument ◽  
Restorative Sleep

Abstract Background To date, there has not been a practical evaluation of patient sleep in critical care units, where sleep disturbance is commonly found. This study aimed to validateฎ a portable electroencephalography monitor, as a sleep monitoring device, against polysomnography (PSG) for objective sleep evaluation and the Richards − Campbell Sleep Questionnaire (RCSQ) for subjective sleep quality in critically ill patients.Methods In this observational study, the sleep pattern of 10 adult patients staying in an ICU for at least 72 hours was evaluated for 24 hours using PSG and the Patient State Index (PSI) from SedLine. Additionally, their nighttime sleep was subjectively scored using the RCSQ to compare with the objective parameters.Results Sleep architecture from PSG showed an increase in light sleep and a prominent decrease in restorative sleep, despite preserved quantity of nocturnal sleep. Based on PSG results, PSI was distributed in accordance with sleep depth. Subjective quality of nocturnal sleep from the RCSQ was correlated with the PSI (r = -0.816, 95% confidence interval [CI]: -0.955 to -0.383), as well as with the nighttime stage N2 ratio from PSG alone (r = 0.741, 95% CI: 0.209 to 0.935) or combined with restorative sleep (r = 0.801, 95% CI: 0.347 to 0.951). The cutoff value of PSI to distinguish between the stage N1 and N2 was 67.0 (specificity, 0.641; sensitivity, 0.845 with area under curve [AUC] of 0.818).Conclusion SedLine is considered a feasible and valid instrument for sleep quality assessment in ICU patients.Trial registration: This investigation was part of an interventional trial registered with the University Hospital Medical Information Network Individual Clinical Trials Registry (UMIN-CTR000026350, http://www.umin.ac.jp/icdr/index-j.html) on March 1, 2017.

Effects of propofol on sleep quality in mechanically ventilated critically ill patients: a physiological study

2012 ◽  
Vol 38 (10) ◽  
pp. 1640-1646 ◽  
Author(s):  
Eumorfia Kondili ◽  
Christina Alexopoulou ◽  
Nectaria Xirouchaki ◽  
Dimitris Georgopoulos
Keyword(s):  
Sleep Quality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Physiological Study ◽  
Mechanically Ventilated

scholarly journals The Efficacy of Eye Masks and Earplugs Interventions for Sleep Promotion in Critically Ill Patients: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Leila Karimi ◽  
Farshid Rahimi-Bashar ◽  
Seyyede Momeneh Mohammadi ◽  
Mohsen Mollahadi ◽  
Masoum Khosh-Fetrat ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sleep Quality ◽  
Quality Assessment ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Sleep Time ◽  
Assessment Tools ◽  
Quasi Experimental

Using physical devices such as eye masks and earplugs to improve to the quality of sleep in intensive care units (ICUs) is a very important issue. This study was conducted to assess the efficacy of eye masks and earplugs for sleep promotion in critically ill adult patients in the ICU based on various sleep quality assessment tools. PubMed, Scopus, Web of Science, and ProQuest were systematically retrieved until May 2021. Both randomized and non-randomized experimental and quasi-experimental studies were included if they evaluated the efficacy of eye masks and earplugs interventions on sleep outcomes in critically ill patients. The methodological quality was assessed by the Joanna Briggs Institute (JBI) critical appraisal tool. For the main outcome (sleep quality), a mean difference (MD) and confidence intervals (CIs) of 95% were determined. A total of 2,687 participants from 35 studies met the inclusion criteria. Twenty one studies were included in meta-analysis and 14 studies were included in the qualitative analysis. According to the results based on sleep quality assessment tools; overall scores of Pittsburgh Sleep Quality Index (PSQI) and Richards-Campbell Sleep Questionnaire (RCSQ), eye mask and/or earplug interventions have a positive effect on sleep quality. Based on Verran-Snyder-Halpern Sleep Scale (VSHSS), sleep disturbance was significantly lower in the intervention groups. In terms of polysomnography, the use of eye masks and/or earplugs resulted in a significant increase in total sleep time, sleep efficiency, rapid eye movement (REM) time, significant reduction of awaking, and sleep arousals index. The results of the present study suggest that the use of earplugs or eye masks, separately or combined affects sleep improvement in critically ill patients.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=145830, PROSPERO: CRD42020145830.

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