Scientific

recommendations

We will discuss several scientific publications that explore the lack of sleep in resuscitation, a crucial but often underestimated problem.

We will review the non-drug solutions currently available, while highlighting their limited effectiveness. We will also discuss the challenges facing research in this area, as well as existing recommendations to improve patients’ sleep quality. Finally, we will present a validated algorithm designed to better manage this problem in resuscitation.Non-medicated solutions

Consequences of sleep deprivation in intensive care

Kalfon 2010

Sources of stressors and discomfort in intensive care

Thille 2018

Impact of sleep alterations on weaning duration in mechanically ventilated patients

Knauert 2024

Intensive care unit interventions to promote sleep and circadian biology in reducing incident delirium

Knauert 2018

Association between death and loss of stage N2 sleep features among critically Ill patients with delirium

Boyko 2019

Atypical sleep in critically ill patients on mechanical ventilation is associated with increased mortality

Dres 2019

Sleep and Pathological Wakefulness at the Time of Liberation from Mechanical Ventilation (SLEEWE)

Non-medicated solutions not efficient enough

Demoule 2017

Impact of earplugs and eye mask on sleep in critically ill patients

Jones Dawson 2012

The effects of eye masks and earplugs on sleep quality, anxiety, fear, and vital signs in patients in an intensive care unit

Research challenges

Knauert 2018

Feasibility study of unattended polysomnography in medical intensive care unit patients

Thille 2021

Role of sleep on respiratory failure after extubation in the ICU

Recommendation

Knauert 2018

Creating Naptime: An Overnight, Nonpharmacologic Intensive Care Unit Sleep Promotion Protocol

Faraklas 2013

Impact of a Nursing-Driven Sleep Hygiene Protocol on Sleep Quality

A validated algorithm

Rault 2023

A real-time automated sleep scoring algorithm to detect refreshing sleep in conscious ventilated critically ill patients