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Improve postoperative sleep: what can we do?

Xian Su1, Dong-Xin Wang

  • 1Department of Anesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China.

Current Opinion in Anaesthesiology
|November 10, 2017
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Summary
This summary is machine-generated.

Postoperative sleep disturbances are common and negatively impact recovery. Interventions to promote sleep may improve patient outcomes, but require further investigation.

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Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Sleep Medicine
  • Surgical Patient Care

Background:

  • Normal sleep is crucial for physical and mental health.
  • Sleep disturbances are prevalent in the postoperative period.
  • These disturbances can arise from various factors including age, comorbidities, surgical trauma, pain, and environmental stressors.

Purpose of the Study:

  • To review the occurrence, risk factors, harmful effects, prevention, and management of sleep disturbances in post-surgical patients.
  • To synthesize current evidence on the impact of sleep disturbances on patient recovery.

Main Methods:

  • Comprehensive review of existing scientific literature.
  • Analysis of evidence regarding factors contributing to sleep disturbances.
  • Evaluation of the consequences of impaired sleep on patient health and recovery.

Main Results:

  • Postoperative sleep disturbances are frequently observed.
  • Identified risk factors include advanced age, preoperative comorbidities, anesthesia type, surgical severity, pain, and environmental stress.
  • Harmful effects include increased risk of delirium, heightened pain sensitivity, cardiovascular events, and impaired recovery.
  • Both nonpharmacological and pharmacological interventions (e.g., zolpidem, melatonin, dexmedetomidine) show potential for improving sleep.

Conclusions:

  • Sleep disturbances are a significant issue for surgical patients, adversely affecting recovery.
  • Sleep promotion strategies may enhance postoperative recovery.
  • Further research is needed to confirm the long-term benefits and efficacy of sleep promotion therapies.