RT Book, Section
A1 Hanly, Patrick J.
A2 Tobin, Martin J.
SR Print(0)
ID 57079429
T1 Chapter 57. Sleep in the Ventilator-Supported Patient
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57079429
RD 2024/04/19
AB It  is  well  recognized  that  sleep  is  abnormal  in  mechanically  ventilated  patients  in  the  intensive  care  unit  (ICU).  Although  this  has  been  described  for  decades,  there  is  still  no  consensus  on  the  underlying  pathogenesis  and  the  best  way  to  manage  it.  Moreover,  the  assumption  that  abnormal  sleep  is  not  good  for  patients  who  are  critically  ill  is  based  primarily  on  extrapolation  from  models  of  sleep  loss  and  sleep  disruption  in  other  patient  populations  and  not  on  evidence  that  abnormal  sleep  affects  the  clinical  outcomes  of  patients  in  the  ICU.  Nevertheless,  there  is  growing  interest  in  this  topic  as  the  technology  to  measure  sleep  evolves  and  new  ways  are  sought  to  improve  patients’  ability  to  recover  from  their  critical  illness.  This  chapter  outlines  the  current  understanding  of  the  causes  and  potential  consequences  of  sleep  disruption  in  ventilator-supported  patients  and  how  this  may  be  further  researched  and  treated.