scholarly journals Sleeping Soundlessly in the Intensive Care Unit

2020 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Kendall J. Burdick ◽  
Christine J. Callahan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mental Status ◽  
Sleep Disruption ◽  
Acoustic Environment ◽  
Stressful Environment ◽  
Monitor Alarms ◽  
Post Intensive Care Syndrome

An estimated 70% of patients who have been in the Intensive Care Unit (ICU) experience some form of Post-Intensive Care Syndrome (PICS). As a stressful environment, the ICU can be traumatic for any patient; however, the disruption of sleep experienced by patients in ICU negatively impacts their mental status and recovery. One of the most significant contributors to sleep disruption is the constant blare of monitor alarms, many of which are false or redundant. Through multisensory approaches and procedural redesign, the hostile acoustic environment of the ICU that causes so many to suffer from PICS may be alleviated. In this paper, we present suggestions for improving the ICU acoustic environment to possibly reduce the incidence of post-ICU complications such as PICS.

Acoustic environment at a neonatal intensive care unit

2019 ◽  
Author(s):  
M Gaspar ◽  
S Yohasenan ◽  
F Haslbeck ◽  
D Bassler ◽  
V Kurtcuoglu ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Acoustic Environment

scholarly journals Urinary Titin N-Fragment as a Biomarker of Muscle Atrophy, Intensive Care Unit-Acquired Weakness, and Possible Application for Post-Intensive Care Syndrome

2021 ◽  
Vol 10 (4) ◽  
pp. 614 ◽  
Author(s):  
Nobuto Nakanishi ◽  
Rie Tsutsumi ◽  
Kanako Hara ◽  
Masafumi Matsuo ◽  
Hiroshi Sakaue ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Muscle Atrophy ◽  
Critically Ill Patients ◽  
Chronic Illnesses ◽  
Rehabilitation Management ◽  
Muscle Dystrophy ◽  
Thin Filaments ◽  
Thick Filaments ◽  
Post Intensive Care Syndrome

Titin is a giant protein that functions as a molecular spring in sarcomeres. Titin interconnects the contraction of actin-containing thin filaments and myosin-containing thick filaments. Titin breaks down to form urinary titin N-fragments, which are measurable in urine. Urinary titin N-fragment was originally reported to be a useful biomarker in the diagnosis of muscle dystrophy. Recently, the urinary titin N-fragment has been increasingly gaining attention as a novel biomarker of muscle atrophy and intensive care unit-acquired weakness in critically ill patients, in whom titin loss is a possible pathophysiology. Furthermore, several studies have reported that the urinary titin N-fragment also reflected muscle atrophy and weakness in patients with chronic illnesses. It may be used to predict the risk of post-intensive care syndrome or to monitor patients’ condition after hospital discharge for better nutritional and rehabilitation management. We provide several tips on the use of this promising biomarker in post-intensive care syndrome.

Abnormal Sleep/Wake Cycles and the Effect of Environmental Noise on Sleep Disruption in the Intensive Care Unit

2001 ◽  
Vol 163 (2) ◽  
pp. 451-457 ◽  
Author(s):  
NEIL S. FREEDMAN ◽  
JOOST GAZENDAM ◽  
LACHELLE LEVAN ◽  
ALLAN I. PACK ◽  
RICHARD J. SCHWAB
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Environmental Noise ◽  
Sleep Disruption ◽  
Abnormal Sleep

Post intensive care syndrome prevention and impact of COVID 19

2021 ◽  
Vol 11 (1) ◽  
pp. 112-117
Author(s):  
Dimitrios Alefragkis
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sleep Problems ◽  
Care Plan ◽  
Prevention Measures ◽  
Post Traumatic Stress ◽  
Maximum Increase ◽  
Post Traumatic ◽  
The Impact ◽  
Post Intensive Care Syndrome

In recent years, there has been a maximum increase in admissions to the intensive care unit, culminating in an exponential increase in admissions during the COVID 19 pandemic. Many patients who survived and were discharged from the intensive care unit have cognitive, physical, and psychological disorders that are reflected in the term post-intensive care syndrome. Patients and their families show symptoms of anxiety, depression, post-traumatic stress, and sleep problems. The result is that they negatively affect their quality of life. Numerous risk factors contribute to the development of this syndrome, mainly the sedation, the duration of mechanical ventilation, and the length of stay in the intensive care unit. For this reason, it is necessary to take measures to prevent this syndrome including ABCDEFGH care plan, physical rehabilitation, nutritional support, and intensive care unit diaries. Care must also be given to the creation of Post Intensive care unit clinics where they have a diagnostic, therapeutic, counseling, and rehabilitation role that will act as assistants in the care of patients after discharge from the intensive care unit. Also, special care should be taken with patients who have recovered from COVID 19 whose needs are increasing and need immediate treatment. This review aims to analyze post-intensive care syndrome, prevention measures, and the impact of COVID 19. In conclusion, it is necessary to take measures to treat post-intensive care unit syndrome with early diagnosis and treatment, to reduce the adverse effects on both patients and their families.

Detection of Inadvertent Airway Intubation During Gastric Tube Insertion: Capnography Versus a Colorimetric Carbon Dioxide Detector

2006 ◽  
Vol 15 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Suzanne M. Burns ◽  
Richard Carpenter ◽  
Cheri Blevins ◽  
Sharon Bragg ◽  
Mary Marshall ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Mental Status ◽  
Gastric Tube ◽  
Medical Intensive Care Unit ◽  
Tube Placement ◽  
Tube Type ◽  
Gastric Tubes ◽  
Medical Intensive Care

• Background In the medical intensive care unit at the University of Virginia Health System, capnography is used to detect end-tidal carbon dioxide to protect patients from inadvertent airway cannulation during placement of gastric tubes. • Objectives To compare the method in which capnography is used with a method in which a colorimetric carbon dioxide detector is used and to determine what variables affect accurate placement of gastric tubes. • Methods A prospective convenience sample of 195 gastric tube insertions was studied in 130 adult patients in a medical intensive care unit. Standard insertions of gastric tubes (done with capnography) were simultaneously monitored by using a disposable colorimetric device, with a color change indicating the presence of carbon dioxide. • ResultsInsertion variables included tube type (60% Salem sump tubes, 40% soft-bore feeding tubes), route of insertion (71% oral, 29% nasal), mechanical ventilation (81%), and decreased mental status (72%). Carbon dioxide was successfully detected with the colorimetric indicator (within seconds) in all insertions in which carbon dioxide was detected by capnography. When carbon dioxide was detected (27% of insertions), the tubes were withdrawn and reinserted. Carbon dioxide detection during tube placement was significantly associated with nasal insertions (P = .03) and spontaneously breathing/nonintubated status (P=.01) but not with mental status or tube type. • Conclusions A colorimetric device is as accurate as capnography for detecting carbon dioxide during placement of gastric tubes.

Approaches to Addressing Post–Intensive Care Syndrome among Intensive Care Unit Survivors. A Narrative Review

2019 ◽  
Vol 16 (8) ◽  
pp. 947-956 ◽  
Author(s):  
Samuel M. Brown ◽  
Somnath Bose ◽  
Valerie Banner-Goodspeed ◽  
Sarah J. Beesley ◽  
Victor D. Dinglas ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Narrative Review ◽  
Post Intensive Care Syndrome

scholarly journals PO-0646 Acoustic Environment Study In A Neonatal Intensive Care Unit

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A465.2-A465
Author(s):  
N Torre ◽  
A Riverola ◽  
G Raboshchuk ◽  
B Muñoz ◽  
C Nadeu ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Acoustic Environment ◽  
Environment Study
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