Evaluating sleep characteristics in intensive care unit and non-intensive care unit physicians.

Abstract:

:Healthcare workers' cognitive performances and alertness are highly vulnerable to sleep loss and circadian rhythms. The purpose of this study was to investigate the changes in sleep characteristics of intensive care unit (ICU) and non-ICU physicians. Actigraphic sleep parameters, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Hamilton Depression Rating Scale were evaluated for ICU and non-ICU physicians on the day before shift-work and on three consecutive days after shift-work. Total sleep time, sleep latency, wakefulness after sleep onset, total activity score, movement fragmentation index, sleep efficiency, daytime naps and total nap duration were also calculated by actigraph. In the ICU physicians, the mean Pittsburgh Sleep Quality Index score was significantly higher than the non-ICU physicians (P = 0.001), however mean Epworth Sleepiness Scale scores were not found significantly different between the two groups. None of the scores for objective sleep parameters were statistically different between the groups when evaluated before and after shift-work (P > 0.05). However in both ICU and non-ICU physicians, sleep latency was observed to be decreased within the three consecutive-day period after shift-work with respect to basal values (P < 0.001). Total sleep time, total activity score and sleep efficiency scores prior to shift-work were significantly different from shift-work and the three consecutive-days after shift-work, in both groups. Working in the ICU does not have an impact on objective sleep characteristics of physicians in this study. Large cohort studies are required to determine long-term health concerns of shift-working physicians.

journal_name

Anaesth Intensive Care

authors

Ok G,Yilmaz H,Tok D,Erbüyün K,Coban S,Dinç G

doi

10.1177/0310057X1103900614

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1071-5

issue

6

eissn

0310-057X

issn

1448-0271

pii

20110207

journal_volume

39

pub_type

杂志文章
  • Middle cerebral artery flow velocity and cerebral oxygenation during abdominal aortic surgery.

    abstract::Cerebral perfusion was evaluated in twelve patients undergoing elective infra-renal abdominal aortic aneurysmectomy by transcranial Doppler ultrasonography-determined middle cerebral artery mean flow velocity, near-infrared spectroscopy-assessed cerebral oxygen saturation and systemic haemodynamic variables. The middl...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9902700203

    authors: Liu G,Burcev I,Pott F,Ide K,Horn A,Secher NH

    更新日期:1999-04-01 00:00:00

  • High-dose adrenaline in adult in-hospital asystolic cardiopulmonary resuscitation: a double-blind randomised trial.

    abstract::Forty intensive care unit patients requiring cardiopulmonary resuscitation were randomised to receive either the standard dose of adrenaline (1 mg every five minutes) or high-dose adrenaline (10 mg every five minutes). In the majority of patients, overwhelming sepsis was the major contributing factor leading to cardia...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9302100210

    authors: Lipman J,Wilson W,Kobilski S,Scribante J,Lee C,Kraus P,Cooper J,Barr J,Moyes D

    更新日期:1993-04-01 00:00:00

  • Uterine rupture and scar dehiscence. A five-year survey.

    abstract::A review of the medical records from two public hospitals in Sydney was undertaken to determine the incidence of this uncommon complication. Twenty-seven cases of uterine rupture were reported out of 31,115 deliveries with an incidence of 0.086% (versus 0.05% in the current literature). The incidence associated with p...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9602400612

    authors: Lynch JC,Pardy JP

    更新日期:1996-12-01 00:00:00

  • In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit.

    abstract::Emergency chest reopen of the post cardiac surgical patient in the intensive care unit is a high-stakes but infrequent procedure which requires a high-level team response and a unique skill set. We evaluated the impact on knowledge and confidence of team-based chest reopen training using a patient simulator compared w...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700109

    authors: Nunnink L,Welsh AM,Abbey M,Buschel C

    更新日期:2009-01-01 00:00:00

  • Anaesthetic breathing circuit obstruction due to blockage of tracheal tube connector by a foreign body--two cases.

    abstract::Two cases are presented which illustrate the disastrous consequences possible when an anaesthetic breathing circuit is obstructed by a foreign body. Despite reports of previous similar cases, work practices and equipment manufacture or design continue to allow for such events to occur. The importance of both pre-anaes...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9902700116

    authors: Foreman MJ,Moyes DG

    更新日期:1999-02-01 00:00:00

  • Epidural opioids in obstetrics--a review.

    abstract::Epidural opioids have been used in obstetrics since 1980. Various opioids are reviewed in relation to their pharmacology, their efficacy in labour, during caesarean section and for postoperative analgesia, their side-effects and safety. In this patient population it appears safe to administer epidural opioids on the g...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X9001800303

    authors: Westmore MD

    更新日期:1990-08-01 00:00:00

  • An analysis of the performance of a variable venturi-type oxygen mask.

    abstract::The theoretical performance of the Hudson Multivent mask is considered. A method is described of determining the flow-weighted mean inspired oxygen concentration produced by the mask. Using this method, it was found that the inspired oxygen concentration was predictable only at the 24% setting using the recommended fl...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800109

    authors: Woolner DF,Larkin J

    更新日期:1980-02-01 00:00:00

  • Intravenous lipid emulsion for levobupivacaine intoxication in acidotic and hypoxaemic pigs.

    abstract::Intravenous lipid emulsion is, in some countries, the recommended treatment for local anaesthetic toxicity. Systemic local anaesthetic toxicity results in hypoxaemia and acidosis, and whether this influences the effects of lipid therapy on drug concentrations and cardiovascular recovery is currently unknown. Twenty an...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1604400214

    authors: Heinonen JA,Skrifvars MB,Haasio J,Backman JT,Rosenberg PH,Litonius E

    更新日期:2016-03-01 00:00:00

  • Trends in intra-aortic balloon counterpulsation: comparison of a 669 record Australian dataset with the multinational Benchmark Counterpulsation Outcomes Registry.

    abstract::The aim of this study was to review and describe indications for intraaortic balloon counterpulsation (IABP) use and identify the impact these have on outcomes at an Australian cardiothoracic tertiary referral hospital. A secondary aim was comparison of the Australian practice with a large multinational IABP data regi...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500101

    authors: Lewis PA,Mullany DV,Townsend S,Johnson J,Wood L,Courtney M,Joseph D,Walters DL

    更新日期:2007-02-01 00:00:00

  • Neuroimmune mechanisms of pain: Basic science and potential therapeutic modulators.

    abstract::This narrative review aims to describe the role of peripheral and central immune responses to tissue and nerve damage in animal models, and to discuss the use of immunomodulatory agents in clinical practice and their perioperative implications. Animal models of pain have demonstrated that nerve injury activates immune...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X20902774

    authors: Lim JS,Kam PC

    更新日期:2020-05-01 00:00:00

  • Myasthenia gravis in children and its anaesthetic implications.

    abstract::Myasthenia gravis, a rare disease in children, occurs in a variety of forms. The aetiology and clinical presentations are reviewed. Eight patients who were studied with electromyography are presented. The results show that, in general, patients with the usual pattern of disease are resistant to suxamethonium (ED95 3-4...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X9001800408

    authors: Brown TC,Gebert R,Meretoja OA,Shield LK

    更新日期:1990-11-01 00:00:00

  • Anaesthetic implications of hyperekplexia--'startle disease'.

    abstract::This report describes anaesthesia for consanguineous siblings with the rare genetic condition hyperekplexia. This condition is also known as 'stiff baby syndrome' or 'startle disease'. Hyperekplexia can present in major and minor forms and is caused by a mutation in chromosome 5 which results in a defect in the alpha-...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0803600217

    authors: Garg R,Ramachandran R,Sharma P

    更新日期:2008-03-01 00:00:00

  • A new model for the oxyhaemoglobin dissociation curve.

    abstract::This paper describes a new model for the oxygen-haemoglobin dissociation curve in humans. The model is based on the known structural alterations that occur in the quaternary haemoglobin molecule during oxygenation and deoxygenation. The two alternative structures, tense and relaxed, are described using hyperbolic tang...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:

    authors: Anstey C

    更新日期:2003-08-01 00:00:00

  • Monitoring temperature in children undergoing anaesthesia: a comparison of methods.

    abstract::Children undergoing anaesthesia are prone to hypothermia. Perioperative monitoring of patient temperature is, therefore, standard practice. Postoperative temperature is regarded as a key anaesthetic performance indicator in Australian hospitals. Many different methods and sites of temperature measurement are used peri...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1404200307

    authors: Drake-Brockman TF,Hegarty M,Chambers NA,von Ungern-Sternberg BS

    更新日期:2014-05-01 00:00:00

  • A serious and repeatable electrical hazard--compressed electrical cord and an operating table.

    abstract::We describe a previously unreported hazard resulting from compression of an electrical cable by an operating theatre table. This resulted in a live wire contact to the operating table. Intermittent connection of the table to earth during a procedure resulted in triggering of a residual current device mitigating the ef...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400303

    authors: Courtney NM,McCoy EP,Scolaro RJ,Watt PA

    更新日期:2006-06-01 00:00:00

  • Preoperative hypnotherapy in the management of a child with anticipatory nausea and vomiting.

    abstract::A six-year-old boy with oesophageal strictures secondary to neonatal repair of oesophageal atresia and requiring six to eight weekly oesophageal dilatations by bouginage developed anticipatory nausea and vomiting. This was effectively managed by a course of preoperative hypnotherapy over four sessions. Resolution of a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500522

    authors: Mackenzie A,Frawley GP

    更新日期:2007-10-01 00:00:00

  • Effect of alkalinisation of lignocaine for propofol injection pain: a prospective, randomised, double-blind study.

    abstract::The aim of this study was to determine whether pretreatment with alkalinised lignocaine reduced the incidence and severity of pain during propofol injection. This prospective, randomised, double-blind study included 300 adult, American Society of Anesthesiologists physcial status I to II patients undergoing elective s...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1304100411

    authors: Ozgul U,Begec Z,Erdogan MA,Aydogan MS,Sanli M,Colak C

    更新日期:2013-07-01 00:00:00

  • High-volume spinal anaesthesia. A dose-response study of bupivacaine 0.125%.

    abstract::The clinical effects of high-volume spinal anaesthesia with bupivacaine 0.125% were studied in 30 patients presenting for postpartum sterilisation. Group A, B and C patients received 6, 8 and 10 ml of bupivacaine 0.125% respectively. Onset, duration and regression of sensory block and motor blockade, haemodynamic para...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9202000407

    authors: Tay DH,Tay SM,Thomas E

    更新日期:1992-11-01 00:00:00

  • A six-month evaluation of the VivaSight™ video double-lumen endotracheal tube after introduction into thoracic anaesthetic practice at a single institution.

    abstract::For a six-month period, all airway options used for non-emergent patients undergoing thoracic surgery requiring one-lung ventilation at a single institution were assessed after introduction of the VivaSight™ double-lumen endotracheal tube (VivaSight-DL), a novel double-lumen tube with an integrated camera. This device...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1704500208

    authors: Rapchuk IL,Kunju S,Smith IJ,Faulke DJ

    更新日期:2017-03-01 00:00:00

  • A survey of cardiopulmonary bypass perfusion practices in Australia in 1992.

    abstract::Twenty-four cardiopulmonary bypass (CPB) perfusion units around Australia were surveyed to determine the characteristics of CPB perfusion as practised in Australia in 1992. Twenty completed survey forms were received. Findings were compared with those of a similar study performed by one of the authors for the year 198...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9302100612

    authors: Wajon PR,Walsh RG,Symons NL

    更新日期:1993-12-01 00:00:00

  • Comparison of patient-controlled analgesia and nurse-controlled infusion analgesia after cardiac surgery.

    abstract::A randomized, controlled clinical trial was conducted on 72 patients undergoing elective cardiac surgery to compare patient-controlled analgesia (PCA) to nurse-titrated infusion of morphine. Pain and nausea scores were assessed at 5, 20, 32 and 44 hours after cardiopulmonary bypass. Serum cortisol estimations were per...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9402200605

    authors: Myles PS,Buckland MR,Cannon GB,Bujor MA,Langley M,Breaden A,Salamonsen RF,Davis BB

    更新日期:1994-12-01 00:00:00

  • The Australian Incident Monitoring Study. Problems before induction of anaesthesia: an analysis of 2000 incident reports.

    abstract::The first 2000 incidents reported to the Australian Incident Monitoring study (AIMS) were examined to identify those incidents which occurred preoperatively (defined as occurring prior to the commencement of general or regional anaesthesia). The 35 incidents, representing 1.7% of the total, which occurred in this time...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9302100516

    authors: Ludbrook GL,Webb RK,Fox MA,Singleton RJ

    更新日期:1993-10-01 00:00:00

  • Referral of surgical patients to an anaesthetic clinic: a decision-making analysis.

    abstract::Effective utilization of an anaesthetic clinic depends on appropriate referral of high-risk surgical patients. The decision-making behaviour of anaesthetists and nurses was examined to identify factors that influence the referral of patients to an outpatient anaesthetic clinic. Eleven consultant anaesthetists, seven a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9402200510

    authors: Lee A,Lum ME,Hillman KM,Bauman A

    更新日期:1994-10-01 00:00:00

  • The Australian Incident Monitoring Study. Problems with regional anaesthesia: an analysis of 2000 incident reports.

    abstract::There were 160 incidents associated with regional anaesthesia amongst the first 2000 incidents reported to the Australian Incident Monitoring Study. They were categorised into 6 groups; epidural anaesthesia (83), spinal anaesthesia (42), brachial plexus blocks (14), intravenous local anaesthesia (4), ocular blocks (3)...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9302100526

    authors: Fox MA,Webb RK,Singleton R,Ludbrook G,Runciman WB

    更新日期:1993-10-01 00:00:00

  • The effect of inhalational anaesthesia during deceased donor organ procurement on post-transplantation graft survival.

    abstract::Many deceased by neurologic criteria donors are administered inhalational agents during organ recovery surgery-a process that is characterised by warm and cold ischaemia followed by warm reperfusion. In certain settings, volatile anaesthetics (VA) are known to precondition organs to protect them from subsequent ischae...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1804600206

    authors: Perez-Protto S,Nazemian R,Matta M,Patel P,Wagner KJ,Latifi SQ,Lebovitz DJ,Reynolds JD

    更新日期:2018-03-01 00:00:00

  • Incidence of inferior vena cava thrombosis detected by transthoracic echocardiography in the immediate postoperative period after adult cardiac and general surgery.

    abstract::Venous thromboembolism is an important complication after general and cardiac surgery. Using transthoracic echocardiography, this study assessed the incidence of inferior vena cava (IVC) thrombosis among a total of 395 and 289 cardiac surgical and major surgical patients in the immediate postoperative period after car...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1304100614

    authors: Saranteas T,Kostopanagiotou G,Tzoufi M,Drachtidi K,Knox GM,Panou F

    更新日期:2013-11-01 00:00:00

  • Acute lithium intoxication.

    abstract::We present a case of acute lithium intoxication in a 51-year-old woman on chronic lithium therapy. Her serum lithium level was 10.6 mmol/l 13 hours after ingestion and 5.8 mmol/l at 24 hours. Dialysis therapy was not employed and she recovered well after fluid resuscitation. Serum lithium levels in chronic intoxicatio...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000118

    authors: Nagappan R,Parkin WG,Holdsworth SR

    更新日期:2002-02-01 00:00:00

  • Effect of diazepam on neuromuscular transmission and its interaction with non-depolarizing muscle relaxants.

    abstract::Neuromuscular blocking actions of diazepam and its interaction with some myoneural blocking agents were studied in dogs and in humans undergoing surgery under general anaesthesia. Diazepam alone had no effect on the response of tibialis anterior muscle to indirect stimulation in dogs. Again, diazepam in a bolus dose o...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7600400207

    authors: Jain PD,Pandey K,De M

    更新日期:1976-05-01 00:00:00

  • An outbreak of hepatitis A in an intensive care unit.

    abstract::We describe an outbreak of hepatitis A that occurred in an Intensive Care Unit (ICU) in a regional hospital in North Queensland. Seven people were infected including two patients, two close contacts of the index patient and three ICU nursing staff. The index case was admitted with an overdose and multiple trauma; he w...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9602400405

    authors: Hanna JN,Loewenthal MR,Negel P,Wenck DJ

    更新日期:1996-08-01 00:00:00

  • The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice.

    abstract::Human error is a pervasive and normal part of everyday life and is of interest to the anaesthetist because errors may lead to accidents. Definitions of, and the relationships between, errors, incidents and accidents are provided as the basis to this introduction to the psychology of human error in the context of the w...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9302100506

    authors: Runciman WB,Sellen A,Webb RK,Williamson JA,Currie M,Morgan C,Russell WJ

    更新日期:1993-10-01 00:00:00