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

Georg Nilius,1,2 Matthias Richter,1 Maik Schroeder1 1Kliniken Essen Mitte, Department of Pneumology, Essen, Germany; 2Witten/Herdecke University, Department of Internal Medicine, Witten, GermanyCorrespondence: Georg NiliusKEM, Evang Kliniken Essen-Mitte gGmbH, Am Deimelsberg 34 a, Essen, 45276, Germ...

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Auteurs principaux:	Nilius G, Richter M, Schroeder M
Format:	article
Langue:	EN
Publié:	Dove Medical Press 2021
Sujets:	icu sleep disorders circadian rhythms Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Accès en ligne:	https://doaj.org/article/97b00eebc0f24f7785e86eecc4275bd1
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spelling	oai:doaj.org-article:97b00eebc0f24f7785e86eecc4275bd12021-12-02T17:37:20ZUpdated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit1179-1608https://doaj.org/article/97b00eebc0f24f7785e86eecc4275bd12021-06-01T00:00:00Zhttps://www.dovepress.com/updated-perspectives-on-the-management-of-sleep-disorders-in-the-inten-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Georg Nilius,1,2 Matthias Richter,1 Maik Schroeder1 1Kliniken Essen Mitte, Department of Pneumology, Essen, Germany; 2Witten/Herdecke University, Department of Internal Medicine, Witten, GermanyCorrespondence: Georg NiliusKEM, Evang Kliniken Essen-Mitte gGmbH, Am Deimelsberg 34 a, Essen, 45276, GermanyEmail g.nilius@kem-med.comAbstract: 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.Keywords: ICU, sleep disorders, circadian rhythmsNilius GRichter MSchroeder MDove Medical Pressarticleicusleep disorderscircadian rhythmsPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 751-762 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	icu sleep disorders circadian rhythms Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	icu sleep disorders circadian rhythms Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Nilius G Richter M Schroeder M Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit
description	Georg Nilius,1,2 Matthias Richter,1 Maik Schroeder1 1Kliniken Essen Mitte, Department of Pneumology, Essen, Germany; 2Witten/Herdecke University, Department of Internal Medicine, Witten, GermanyCorrespondence: Georg NiliusKEM, Evang Kliniken Essen-Mitte gGmbH, Am Deimelsberg 34 a, Essen, 45276, GermanyEmail g.nilius@kem-med.comAbstract: 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.Keywords: ICU, sleep disorders, circadian rhythms
format	article
author	Nilius G Richter M Schroeder M
author_facet	Nilius G Richter M Schroeder M
author_sort	Nilius G
title	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_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_sort	updated perspectives on the management of sleep disorders in the intensive care unit
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/97b00eebc0f24f7785e86eecc4275bd1
work_keys_str_mv	AT niliusg updatedperspectivesonthemanagementofsleepdisordersintheintensivecareunit AT richterm updatedperspectivesonthemanagementofsleepdisordersintheintensivecareunit AT schroederm updatedperspectivesonthemanagementofsleepdisordersintheintensivecareunit
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Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit

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