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020 _a9783031064470
024 7 _a10.1007/978-3-031-06447-0
_2doi
040 _aES-MaUEC
_bspa
_cES-MaUEC
_dES-MaUEC
050 4 _aRC86.8
_b2022 EB
245 0 0 _aSleep in Critical Illness :
_bPhysiology, Assessment, and Its Importance to ICU Care
_cedited by Gerald L. Weinhouse, John W. Devlin
250 _a1st edition 2022
264 1 _aCham
_bSpringer International Publishing
_c2022
300 _a1 recurso en línea (XI, 316 páginas)
_b34 ilustraciones, 23 ilustraciones a color
336 _atexto
_btxt
_2rdacontent
337 _aelectrónico
_bc
_2rdamedia
338 _arecurso electrónico
_bcr
_2rdacarrier
347 _aarchivo de texto
_bPDF
505 0 _aCharacteristics of sleep in critically ill patients. Part I: Sleep fragmentation and sleep stage disruption -- Characteristics of sleep in critically ill patients. Part II: Circadian rhythm disruption -- Unique neurophysiologic findings in the critically ill: "Atypical sleep and pathologic wakefulness" -- Normal sleep compared to altered consciousness during sedation.-Biologic effects of disrupted sleep -- Risk factors for disrupted sleep in the ICU -- Effects of common ICU medications on sleep -- Sleep disruption and its relationship with delirium: Electroencephalographic perspectives -- Sleep disruption and its relationship with delirium: Clinical perspectives -- Mechanical ventilation and sleep -- ICU sleep disruption and its relationship with ICU outcomes -- Long-term outcomes--sleep in survivors of critical illness -- Methods for routine ICU sleep assessment and monitoring -- Best practices for improving sleep in the ICU. Part 1: Non-pharmacologic -- Best practices for improving sleep in the ICU. Part II: Pharmacologic -- Sleep considerations in critically ill children -- Sleep in Critical Illness: Future Directions. .
520 _aFor decades heavily sedated ICU patients were assumed to be asleep. However, in the past 20 years, physiologic and epidemiologic studies have established sleep is frequently disrupted in the ICU. The inter-relationship between ICU sleep, delirium, and survivorship has come to the forefront of ICU practice. We now routinely aim for lighter sedation, delirium assessment has become standardized, and knowledge regarding the ICU factors leading to Post- Intensive Care Syndrome (PICS) has evolved. The importance of sleep in routine ICU management was codified for the first time in SCCM's 2018 PADIS guidelines. This state of the art book summarizes current knowledge regarding sleep during critical illness and recovery and how the risk factors, recognition, and outcomes associated with sleep in the ICU differ from those of healthy adults. Chapters address sleep quality in both the research environment and during routine care, the factors that disrupt sleep architecture and circadian biology in the ICU setting, medications that alter sleep architecture and those that can be used to improve it, the relationship between sleep and sedation and between sleep and delirium, and current strategies that can be used to improve sleep in the vulnerable ICU population. Written by experts in the field, Sleep in Critical Illness is a valuable resource for all members of the ICU interprofessional team including critical care physicians, nurses, physician assistants, pharmacists, and respiratory therapists as well as clinicians who consult in the ICU and post-ICU settings. .
988 _aSpringer_Medicine_2022
650 7 _2embne
_9669657
_aMedicina de urgencia
650 7 _2embne
_9173850
_aSueño
_xTrastornos
700 1 _aWeinhouse, Gerald L.
_eeditor literario
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
700 1 _aDevlin, John W.
_eeditor literario
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
776 0 8 _iPrinted edition:
_z9783031064463
776 0 8 _iPrinted edition:
_z9783031064487
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-3-031-06447-0
_zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
942 _2lcc
_cLE
998 _b12/2022
_dz
_eb
_zSI