Abstract:
:More than one-half million patients are hospitalized annually for traumatic brain injury (TBI). One-quarter demonstrate sleep-disordered breathing, up to 50% experience insomnia, and half have hypersomnia. Sleep disturbances after TBI may result from injury to sleep-regulating brain tissue, nonspecific neurohormonal responses to systemic injury, ICU environmental interference, and medication side effects. A diagnosis of sleep disturbances requires a high index of suspicion and appropriate testing. Treatment starts with a focus on making the ICU environment conducive to normal sleep. Treating sleep-disordered breathing likely has outcome benefits in TBI. The use of sleep promoting sedative-hypnotics and anxiolytics should be judicious.
journal_name
Crit Care Clinjournal_title
Critical care clinicsauthors
Vermaelen J,Greiffenstein P,deBoisblanc BPdoi
10.1016/j.ccc.2015.03.012subject
Has Abstractpub_date
2015-07-01 00:00:00pages
551-61issue
3eissn
0749-0704issn
1557-8232pii
S0749-0704(15)00028-7journal_volume
31pub_type
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