tailieunhanh - Báo cáo y học: "Measuring sleep in critically ill patients: beware the pitfalls"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Measuring sleep in critically ill patients: beware the pitfalls. | Available online http content 11 4 159 Commentary Measuring sleep in critically ill patients beware the pitfalls Paula L Watson Department of Medicine Division of Allergy Pulmonary and Critical Care and the Center for Health Services Research Center Vanderbilt University Medical Center 21st Ave South Nashville Tennessee 37232 USA Corresponding author Paula L Watson Published 30 August 2007 This article is online at http content 11 4 159 2007 BioMed Central Ltd Critical Care 2007 11 159 doi cc6094 See related review by Bourne et al. http content 11 4 226 Abstract Survivors of critical illness frequently report poor sleep while in the intensive care unit ICU and sleep deprivation has been hypothesized to lead to emotional distress ICU delirium and neuro-cognitive dysfunction prolongation of mechanical ventilation and decreased immune function. Thus the careful study of sleep in the ICU is essential to understanding possible relationships with adverse clinical outcomes. Such research however must be conducted using sleep measurement techniques that have important limitations in this unique setting. Polysomnography PSG is considered the gold standard but is cumbersome time consuming and expensive. As such alternative methods of sleep measurement such as actigraphy processed electroencephalography monitors and subjective observation are often used. Though helpful in some instances data obtained using these methods can often be inaccurate and misleading. Even PSG itself must be interpreted with caution in this population due to effects of critical illness and associated treatments. Heralded as the new frontier in critical care medicine sleep in intensive care unit ICU patients is rapidly gaining attention. Researchers now recognize that ICU patients experience poor quality sleep with severely disrupted sleep architecture. The outcomes attributable to poor sleep quality in the ICU are not yet known