SCCM Resource Library-Interventions for Good Sleep

Video Transcription

Video Summary

In this video transcript, Elizabeth Wilcox, an associate professor at the University of Toronto, discusses interventions for good sleep in acute illness, specifically in the ICU. She highlights the difficulties in quantifying sleep disruption in the ICU due to heterogeneity in studies and challenges in measuring sleep itself. However, risk factors such as pain, anxiety, poor sleep or sleep medication usage prior to admission, inadequate daytime and excessive nighttime light, excessive noise, and frequent care interruptions have been consistently implicated in ICU sleep disruption. Wilcox discusses non-pharmacologic interventions, such as controlling the ICU environment and using eye masks and ear plugs, as well as pharmacologic interventions, including melatonin agonists, alpha-2 agonists, and orexin antagonists. She emphasizes the need for further research in this area and recommends promoting daytime wakefulness, optimizing timing of sedating medications, reviewing other medications that may impact sleep, and discontinuing sleep aid medications prior to ICU discharge.

Asset Subtitle

Behavioral Health and Well Being, 2023

Asset Caption

Type: one-hour concurrent | Good Night! Sleep Tight! (SessionID 1119166)

Meta Tag

Content Type Presentation

Knowledge Area Behavioral Health and Well Being

Membership Level Professional

Membership Level Select

Tag Well Being

Year 2023

Keywords

sleep disruption

ICU

risk factors

non-pharmacologic interventions

pharmacologic interventions

ICU environment

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.