Sleep-wake patterns are often significantly disturbed in critically ill patients. This disturbance is closely linked to secondary brain dysfunctions in these patients. In other contexts, light therapy has been proven to be effective in maintaining and resynchronizing circadian rhythmicity in humans. The objective of this systematic review was to analyze studies that investigated the effect of exposure to light or darkness on physiological measures and clinical outcomes of adult ICU patients.Read More
Our working group has just evaluated photometric parameters of three different electric light sources in the ICU, including the newly developed, 15 square meters large LED light-ceiling. Furthermore, we aimed at estimating potential circadian efficacy and side effects of the investigated light sources for exposed ICU patients.Read More
We evaluated test validity and reliability of the Pediatric Confusion Assessment Method for the ICU (pCAM-ICU), the Pediatric Anesthesia Emergence Delirium (PAED) scale, and our newly created pCAM-ICU severity scale (sspCAM-ICU) for the detection of delirium in PICU patients. We used daily repeated assessments in the same patient to mimic the use of scores in clinical routine.
We present the results of a prospective, non-interventional, observational cohort study that was conducted on two ICUs of a tertiary care medical centre. We assessed delirium monitoring and outcome parameters on a daily basis. Of 355 screened patients, we included 185 surgical ICU patients into our final analysis of which 87 were mechanically ventilated.Read More