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Updated: Mar 1, 2026

How to Administer Near-Infrared Spectroscopy in Critically ill Neonates, Infants, and Children

How to Administer Near-Infrared Spectroscopy in Critically ill Neonates, Infants, and Children

Published on: August 19, 2020

重症呼吸不全の重症患者における小児の睡眠健康

Laura Beth Kalvas¹, Onella S Dawkins-Henry², Monica R Ordway³

¹Laura Beth Kalvas is Nurse Scientist, Nationwide Children's Hospital Center for Nursing Excellence, Near East Office Building, 431 S 18th St, Columbus, Ohio 43205 (laurabeth.kalvas@nationwidechildrens.org); Adjunct Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania; and Affiliate Faculty, The Ohio State University College of Nursing, Columbus, Ohio.

AACN advanced critical care

|February 27, 2026

要旨

Background:

Sleep health is an overlooked but important part of children's health and development. The health consequences associated with poor sleep health may impact recovery during critical illness.

Objective:

Explore sleep health among children in the pediatric intensive care unit (PICU) receiving usual care or a nurse-led chronotherapeutic care bundle.

Methods:

Secondary analysis of the RESTORE Resilience (R2) trial. Parent-reported baseline sleep health was compared with PICU sleep health, including compliance with baseline sleep behaviors, alertness levels, and actigraphy-based measures of sleep timing, efficiency, and duration.

Results:

In 52 R2 participants (6 months to 17 years), 49 provided prehospital sleep data and 22/49 (45%) had atypical baseline sleep health. Participants had irregular PICU sleep behaviors and spent ≥ 25% of PICU days sedated. Children experienced little daytime activity consolidation and short, fragmented sleep episodes. Total sleep time was within 1 hour of baseline on 23 (11%) study days. There were few associations between baseline and PICU sleep health or between R2 bundle implementation and PICU sleep health.

Conclusions:

Critically ill children demonstrated disrupted sleep health. Results will inform nurse-led interventions to promote sleep in the PICU.

キーワード:

アクチグラフィ概日リズム小児集中治療室睡眠睡眠衛生

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