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Review
. 2019 Mar 9;23(1):82.
doi: 10.1186/s13054-019-2366-0.

Sleep and Circadian Rhythm in Critical Illness

Irene Telias  1   2   3 , Mary Elizabeth Wilcox  4   5
Affiliations
Review

Sleep and Circadian Rhythm in Critical Illness

Irene Telias et al. Crit Care. .

Abstract

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2019. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2019 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901 .

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Determinants and physiological consequences of sleep and circadian rhythm disruptions in the intensive care unit (ICU). Interaction between determinants (light blue) and possible consequences (light green) of sleep and circadian rhythm disruptions are shown. Interestingly, most interactions are bidirectional, meaning that the determinants might predispose the patient to such disturbances and be a consequence of them. An intimate relationship between sleep, circadian rhythm disruption and delirium is shown (purple). Main interactions are represented by thicker and continuous arrows. More complex and less proven interactions have dashed arrows. Most of the determinants are modified by factors related to the disease process such as pain, inflammation and end-organ dysfunction. Additionally, many patients admitted to the ICU have previous sleep disturbances, which will probably increase the risk of having them in the ICU
See this image and copyright information in PMC

References

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