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Updated: Jul 20, 2025

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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
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An aromatherapy massage intervention on sleep in the ICU: A randomized controlled feasibility study
Natalie Pattison1,2, Geraldine O'Gara3, Karen Thomas4
1University of Hertfordshire, Hatfield, UK.
Nursing in Critical Care
|August 3, 2023
Summary
Aromatherapy massage did not prove feasible for improving sleep in critically ill patients. Further research is needed to explore complex interventions for sleep in intensive care units (ICUs).
Area of Science:
- Critical Care Medicine
- Complementary and Alternative Medicine
- Sleep Science
Background:
- Critically ill patients often experience sleep disturbances.
- Sleep quality is crucial for recovery in intensive care units (ICUs).
- Complex interventions like aromatherapy massage require feasibility testing before large-scale trials.
Purpose of the Study:
- To explore the feasibility of conducting a randomized controlled trial on aromatherapy massage for sleep in critically ill patients.
- To assess the recruitment and data completion rates for a complex intervention study in the ICU setting.
Main Methods:
- A feasibility randomized controlled trial was conducted.
- Patients were randomized to aromatherapy massage or usual care.
- Sleep depth was measured using Bispectral Index monitoring and validated questionnaires.
Main Results:
- Thirty-four patients were recruited (17 intervention, 17 control).
- Low participant completion rates for outcome measures were observed (5 intervention, 8 control).
- A larger study was deemed unfeasible in this patient population.
Conclusions:
- Testing the feasibility of complex interventions is valuable.
- Aromatherapy massage for sleep in critically ill patients presents significant feasibility challenges.
- Further research should focus on refining methodologies for complex interventions in ICUs.
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