SCCM Resource Library-Dear Brain, Please Let Me Sleep

Video Transcription

Video Summary

The speaker discusses sleep dysfunction in the intensive care unit (ICU). They explain that sleep disruption is common in the ICU, with patients experiencing sleep during the daytime instead of at night, frequent arousals, and a lack of deep sleep. Sleep dysfunction in the ICU can have negative consequences, including decreased physical performance, cognitive impairment, delirium, glucose intolerance, increased inflammation, and decreased immune response. The speaker identifies various risk factors for sleep dysfunction, including psychological factors, physiologic discomfort, care-related interventions, and comorbidities. They also discuss medications that can impact sleep, such as benzodiazepines, propofol, opiates, and antidepressants. Non-pharmacologic interventions, including reducing interruptions, promoting daytime wakefulness, addressing environmental factors, and decreasing psychological distress, are recommended as the first-line therapy for improving sleep in ICU patients. The speaker also discusses the limited evidence for pharmacologic interventions, including the use of melatonin and other medications. They emphasize the importance of implementing a comprehensive sleep bundle and involving a multidisciplinary team in improving sleep quality in the ICU.

Asset Subtitle

Neuroscience, 2023

Asset Caption

Type: two-hour concurrent | The ABC's of Sedation and Delirium Management in Adult Patients (SessionID 1333301)

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Membership Level Professional

Membership Level Select

Tag Sleep Medicine

Year 2023

Keywords

sleep dysfunction

intensive care unit

ICU

risk factors

non-pharmacologic interventions

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