Optimizing Sleep in the Intensive Care Unit, An Issue of Critical Care Nursing Clinics of North America

1st Edition, Volume 33-2 - May 31, 2021
Editor: Karen S. Schieman
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 1 3 1 1 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 1 3 1 2 - 9

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Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Erratum
Preface
Assessment and Monitoring of Sleep in the Intensive Care Unit
Key points
Introduction
Polysomnography
Bispectral index
Actigraphy
Nursing assessment
Patient questionnaires
Discussion
Summary
Clinics care points
Intensive Care Unit Environment and Sleep
Key points
Sleep as a recovery tool
Factors affecting sleep in the intensive care unit
Intrinsic (biological) factors
Summary
Clinical relevance
Clinics care points
Holistic Approaches to Support Sleep in the Intensive Care Unit Patient
Key points
Introduction/history/definitions/background
Sleep quality
Holism, health care, and optimal healing environments
Discussion on complementary approaches to sleep
Aromatherapy
Guided imagery
Mindfulness-based interventions
Summary
Clinics care points
Review of Pharmacologic Sleep Agents for Critically Ill Patients
Key points
Background
Nonpharmacologic management
Melatonin and ramelteon
Propofol
Dexmedetomidine
Benzodiazepines, barbiturates, and hypnotics
Antidepressants
Antipsychotics
Antihistamines
Summary
Clinics care points
The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients
Key points
Introduction
Sleep disturbance in intensive care
Delirium in intensive care
Neurobiological features of sleep disturbance and delirium
The effects of analgesia and sedation on sleep and delirium
Nonpharmacologic interventions
Summary
Clinics care points
The Impact of Obstructive Sleep Apnea on the Sleep of Critically Ill Patients
Key points
Introduction
The impact of sleep deprivation and obstructive sleep apnea comorbidities
Comorbidities, risk factors, and associated body systems
Prevalence of sleep apnea
Definition of sleep apnea
Pathophysiology
Clinical presentation
Assessment and diagnosis
Polysomnography
Treatment
Intensive care unit pearls
Summary
Clinics care points
Benefits of Early Mobility on Sleep in the Intensive Care Unit
Key points
Introduction
Review of literature
Summary
Clinics care points
Effect of Opioids on Sleep
Key points
Introduction
Review of the literature
Summary
Clinics care points
To Sleep, or Not to Sleep, that Is the Question
Key points
Introduction
Approach
Implications for future nursing research and clinical practice
Summary
Clinics care points
Family Presence and Sleep in the Intensive Care Unit
Key points
Introduction
Is a family member at the bedside beneficial to the patient?
Implication of staying overnight in the intensive care unit on the family
Impact on healthcare delivery/nursing care
Discussion
Summary
Critics care points

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Karen S. Schieman