Advertisement

Sleep quality in survivors of critical illness: practical shortcomings unresolved

  • Mohamad F. El-Khatib
  • Antonio M. Esquinas
Sleep Breathing Physiology and Disorders • Letter to the Editors

To the Editor,

We read with great interest the manuscript of Alexopoulou et al. [1] in which the authors assessed sleep-disordered breathing (SDB) as well as sleep architecture in survivors of critical illness at 10 days and 6 months after hospital discharge. Also, the authors aimed to examine whether or not sleep abnormalities influenced the patients’ quality of life. All of their patients received mechanical ventilation in the ICU, the majority of them (75%) because of acute respiratory distress syndrome (ARDS). Their results showed that in survivors of critical illness without hypercapnia and hypoxemia, sleep quality at 10-day post-hospital discharge was poor and was characterized by severe disruption of sleep architecture and excessive SDB mainly of the obstructive type. At 6-month post-hospital discharge, sleep quality remained relatively poor, however significantly better than at 10-day post-hospitalization. The quality of life was poor at 10 days and remained poorer than normal...

Abbreviations

ARDS

Acute respiratory distress syndrome

ICU

Intensive care unit

SDB

Sleep-disordered breathing

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Alexopoulou C, Bolaki M, Akoumianaki E, Erimaki S, Kondili E, Mitsias P, Georgopoulos D (2018) Sleep quality in survivors of critical illness. Sleep Breath.  https://doi.org/10.1007/s11325-018-1701-z
  2. 2.
    Villar J, Fernández RL, Ambrós A, Parra L, Blanco J, Domínguez-Berrot AM, Gutiérrez JM, Blanch L, Añón JM, Martín C, Prieto F, Collado J, Pérez-Méndez L, Kacmarek RM, Acute Lung Injury Epidemiology and Natural history Network (2015) A clinical classification of the acute respiratory distress syndrome for predicting outcome and guiding medical therapy. Crit Care Med 43(2):346–353CrossRefGoogle Scholar
  3. 3.
    Fan E, Brodie D, Slutsky AS (2018) Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA 319(7):698–710CrossRefGoogle Scholar
  4. 4.
    Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P, Zhu J, Sachdeva R, Sonnad S, Kaiser LR, Rubinstein NA, Powers SK, Shrager JB (2008) Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med 358(13):1327–1335CrossRefGoogle Scholar
  5. 5.
    Shah AC, Barnes C, Spiekerman CF, Bollag LA (2015) Hypoglossal nerve palsy after airway management for general anesthesia: an analysis of 69 patients. Anesth Analg 120(1):105–120CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyAmerican University of Beirut–Medical CenterBeirutLebanon
  2. 2.Department of Intensive Care UnitHospital Morales MeseguerMurciaSpain

Personalised recommendations