Delirium and sleep in intensive care II – monitoring and diagnostic options

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Authors: M. Kovář ^1,2,5; J. Bednařík ^3,5; L. Bakošová ^3,5; D. Kec ^3,5; E. Klabusayová ^1,2,5; T. Bönischová ^1,2,5; J. Klučka ^1,2,5; J. Maláska ^1,2,4,5
Authors place of work: Klinika dětské anesteziologie a resuscitace FN Brno ¹; Ústav simulační medicíny, LF MU Brno ²; Neurologická klinika FN Brno ³; II. Anesteziologicko-resuscitační oddělení, FN Brno ⁴; LF MU, Brno ⁵
Published in the journal: Cesk Slov Neurol N 2023; 86(5): 304-309
Category: Přehledný referát
doi: https://doi.org/10.48095/cccsnn2023304

Summary

Monitoring sleep quality and delirium are essential in providing modern intensive care. They present both equipment and personnel challenges. Not only because certain monitoring methods, such as polysomnography, affect monitored sleep themselves. Although new alternatives exist, polysomnography remains the gold standard in diagnosing and researching sleep disorders for the validity of the data obtained. Without monitoring and screening methods, delirium and sleep disorders cannot be reliably diagnosed in intensive care. Without a clearly established diagnosis, the outcomes of delirium and reduced sleep quality cannot be investigated. This article summarizes various options for monitoring both sleep and delirium, their advantages and limitations in the critical care setting.

Keywords:

monitoring – intensive care – sleep – delirium – polysomnography – sleep quality – actigraphy

Zdroje

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