tailieunhanh - Báo cáo y học: "Good night, sleep tight: the time is ripe for critical care providers to wake up and focus on sleep"

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: Good night, sleep tight: the time is ripe for critical care providers to wake up and focus on sleep. | Available online http content 12 3 146 Commentary Good night sleep tight the time is ripe for critical care providers to wake up and focus on sleep Randall S Friese Department of Surgery University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Room Dallas Texas 75390 USA Corresponding author Randall S Friese Published 12 May 2008 This article is online at http content 12 3 146 2008 BioMed Central Ltd Critical Care 2008 12 146 doi cc6884 See related research by Bourne et al. http content 12 2 R52 Abstract The role of sleep during recovery from acute illness has been overlooked for decades. Advances in the support of critically ill patients have been made in mechanical ventilation specialized nutrition support highly specific antibiotic therapy and early rehabilitation. However the promotion of sleep - a basic tenet for survival - has been actively ignored by critical care providers. Bourne and coworkers recently conducted a small clinical trial that describes improved sleep efficiency with oral melatonin use in critically ill patients. Most physicians if not all readily support the notion that achieving an adequate amount of quality sleep is essential for speedy recovery from acute illness and promptly send their patients home with a prescription for adequate rest. However when these acute illnesses require hospital admission the importance of attaining adequate rest takes a back seat secondary to the necessities of running a hospital ward. The practice of active sleep disruption is no more apparent than in the intensive care unit ICU setting where lighting noise and frequent nocturnal assessments treatments prevent acutely ill patients from attaining sleep of adequate quality. The time has come for critical care providers to give credence to the significance of prescribing sleep in the inpatient setting just as we prescribe antibiotics nutrition support deep venous .