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Sleep and Mechanical Ventilation in Critically Ill Patients

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Annual Update in Intensive Care and Emergency Medicine 2014

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM,volume 2014))

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Abstract

Sleep in critically ill patients has been recently recognized as an important concept of modern intensive care. Impaired sleep in intensive care unit (ICU) patients may have serious cardiorespiratory, neurological, immunological, and metabolic consequences [1]. Several factors, such as pre-existing medical or chronic sleep disorders, severity of illness, the acute illness that precipitated the ICU admission, the ICU environment, alterations in circadian rhythm, various medications and mechanical ventilation, may place critically ill patients at risk of poor sleep quality [1]. Among these factors, mechanical ventilation has attracted considerable interest in recent years. Mechanical ventilation may affect sleep by several direct and indirect mechanisms, mainly involving aspects of control of breathing and patient-ventilator interaction, and the use of medications to facilitate care. Studies indicate that carefully chosen ventilator modes and titration of ventilator settings may have an impact on sleep quality in these patients. In this chapter, we will summarize the current knowledge about this important but largely ignored issue.

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Authors and Affiliations

  1. Department of Intensive Care Medicine, University Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece

    C. Psarologakis, S. Kokkini & D. Georgopoulos

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  1. C. Psarologakis
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  2. S. Kokkini
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  3. D. Georgopoulos
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Correspondence to D. Georgopoulos .

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Editors and Affiliations

  1. Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent Prof.

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Psarologakis, C., Kokkini, S., Georgopoulos, D. (2014). Sleep and Mechanical Ventilation in Critically Ill Patients. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2014. Annual Update in Intensive Care and Emergency Medicine, vol 2014. Springer, Cham. https://doi.org/10.1007/978-3-319-03746-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-03746-2_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-03745-5

  • Online ISBN: 978-3-319-03746-2

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