These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to sleep.
Questions addressed in this presentation include:
- How does sleep in critically ill adults differ from normal sleep in healthy adults?
- Is sleep different in critically ill adults if delirium (vs. no delirium) is present?
- Is sleep different in critically ill adults who are mechanically ventilated (vs. not mechanically ventilated)?
- What is the prevalence of unusual or dissociative sleep patterns in critically ill adults?
- What risk factors that exist before the onset of critical illness affects sleep quality in critically ill adults in the ICU?
- Which ICU-acquired risk factors affect sleep quality in critically ill adults?
- Do sleep and circadian rhythm alterations ‘during” an ICU admission affect outcomes during and/or after the ICU stay in critically ill adults?
- Should physiologic monitoring be routinely used clinically to evaluate sleep in critically ill adults?