Journal ArticleDOI
Occurrence of rapid eye movement sleep deprivation after surgery under regional anesthesia.
Frank Dette,Werner Cassel,Friederike Urban,Martin Zoremba,Ulrich Koehler,Hinnerk Wulf,Jürgen Graf,Thorsten Steinfeldt +7 more
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TLDR
Assessment of rapid eye movement (REM) sleep in patients undergoing knee replacement surgery using a regional anesthetic technique found postoperative reduction of REM sleep also occurs after surgery and regional anesthesia.Abstract:
BACKGROUND:Sleep disturbances after general surgery have been described. In this study, we assessed rapid eye movement (REM) sleep in patients undergoing knee replacement surgery using a regional anesthetic technique.METHODS:Ambulatory polysomnography (PSG) was performed on 3 nights: the night beforread more
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Improve postoperative sleep: what can we do?
Xian Su,Dong-Xin Wang +1 more
TL;DR: It is shown that sleep promotion may improve patients’ outcome, but requires further evidences, and both nonpharmacological and pharmacological measures can be used to improve postoperative sleep.
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Ramelteon for Prevention of Postoperative Delirium: A Randomized Controlled Trial in Patients Undergoing Elective Pulmonary Thromboendarterectomy.
Stuti J. Jaiswal,Stuti J. Jaiswal,Anuja Vyas,Andrew J Heisel,Haritha Ackula,Ashna Aggarwal,Nick H. Kim,Kim M. Kerr,Michael M. Madani,Victor Pretorius,William R. Auger,Timothy M. Fernandes,Atul Malhotra,Robert L. Owens +13 more
TL;DR: Ramelteon 8 mg did not prevent postoperative delirium in patients admitted for elective cardiac surgery and there was no difference in ICU length of stay, in-hospital mortality, or in- hospital mortality.
Journal ArticleDOI
Postoperative sleep disorders and their potential impacts on surgical outcomes.
TL;DR: Pharmacological and non-pharmacological treatment strategies for postoperative sleep disturbance include dexmedetomidine, zolpidem, melatonin, enhanced recovery after surgery (ERAS) protocol and controlling of environmental noise and light levels.
Journal ArticleDOI
A Brief Review of Non-invasive Monitoring of Respiratory Condition for Extubated Patients with or at Risk for Obstructive Sleep Apnea after Surgery
Xuezheng Zhang,Xuezheng Zhang,Mahmoud Kassem,Ying Zhou,Muhammad Shabsigh,Quanguang Wang,Xuzhong Xu +6 more
TL;DR: The sole use of any of these devices is not ideal for monitoring of extubated patients with or at risk for OSA after surgery, but it is expected that the combined use of continuous pulse oximetry and RVM may be promising for these patients due to their complementary function, which need further study.
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Intrathecal morphine and sleep apnoea severity in patients undergoing hip arthroplasty: a randomised, controlled, triple-blinded trial.
TL;DR: Intrathecal morphine did not increase sleep apnoea severity when measured using respiratory polygraphy, and all patients had an increased number ofApnoeic episodes on the third postoperative night in the control group.
References
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A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects.
TL;DR: Techniques of recording, scoring, and doubtful records are carefully considered, and Recommendations for abbreviations, types of pictorial representation, order of polygraphic tracings are suggested.
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Sleep loss and REM sleep loss are hyperalgesic.
TL;DR: These studies showed that the loss of 4 hours of sleep and specific REM sleep loss are hyperalgesic the following day, implying that pharmacologic treatments and clinical conditions that reduce sleep and REM sleep time may increase pain.
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Sleep classification according to AASM and Rechtschaffen & Kales: effects on sleep scoring parameters.
Doris Moser,Peter Anderer,Georg Gruber,Silvia Parapatics,Erna Loretz,Marion Boeck,Gerhard Kloesch,Esther Heller,Andrea Schmidt,Heidi Danker-Hopfe,Bernd Saletu,Josef Zeitlhofer,Georg Dorffner +12 more
TL;DR: The study shows significant and age-dependent differences between sleep parameters derived from conventional visual sleep scorings on the basis of R&K rules and those based on the new AASM rules.
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Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week.
TL;DR: It is concluded that anesthesia with upper abdominal surgery leads to a severe disruption of nocturnal sleep followed by the release of highly intense REM sleep about the middle of the first postoperative week.