Sleep deprivation in healthy volunteers is associated with immune dysfunction. This adverse effect of sleep deprivation likely occurs in patients suffering from acute injury and critical illness requiring intensive care unit (ICU) admission. Studies have demonstrated that sleep in ICU patients is highly abnormal. The global hypothesis for this proposal is that a strategy to promote sleep in ICU patients will increase time in rapid eye movement (REM) and slow wave sleep (SWS). This three phase proposal examines the feasibility of a sleep promotion strategy for injured and critically ill patients in the ICU. Phase I (Development and Training): Develop an intervention manual for sleep promotion, Sleep Enhancement Program (SEP), and train ICU staff. Phase II (Validation and Safety): Implement SEP and test for protocol fidelity and safety. Phase III (Efficacy): Conduct a pilot trail to determine efficacy of SEP to improve SWS in ICU patients.
Study Type
INTERVENTIONAL
Allocation
NA
Masking
NONE
Enrollment
75
Sleep promotion in the ICU Multifaceted tool to promote sleep in ICU patients
University Medical Center
Tucson, Arizona, United States
Time in Rapid Eye Movement (REM) Sleep
Polysomnography during sleep promotion protocol
Time frame: Within 24 hours of enrollment
Time in slow wave sleep
Polysomnography during sleep promotion protocol
Time frame: Within 24 hours of enrollment
Systemic inflammatory mediators (cytokines)
Blood draw for circulating mediaotors of inflammation
Time frame: Baseline and 12, 24, and 48 hours
Safety profile
Monitor for adverse events during polysomnography
Time frame: With 24 hours of enrollment
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