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Naughton MT. Common sleep problems in ICU: heart failure and sleep-disordered breathing syndromes. Crit Care Clin. 2008;24(3):565-87, vii-viiidoi: 10.1016/j.ccc.2008.02.004.
Naughton, M. T. (2008). Common sleep problems in ICU: heart failure and sleep-disordered breathing syndromes. Critical care clinics, 24(3), 565-87, vii-viii. https://doi.org/10.1016/j.ccc.2008.02.004
Naughton, Matthew T. "Common sleep problems in ICU: heart failure and sleep-disordered breathing syndromes." Critical care clinics vol. 24,3 (2008): 565-87, vii-viii. doi: https://doi.org/10.1016/j.ccc.2008.02.004
Naughton MT. Common sleep problems in ICU: heart failure and sleep-disordered breathing syndromes. Crit Care Clin. 2008 Jul;24(3):565-87, vii-viii. doi: 10.1016/j.ccc.2008.02.004. PMID: 18538201.
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Crit Care Clin. 2008 Jul;24(3):565-87, vii-viii. doi: 10.1016/j.ccc.2008.02.004.

Common sleep problems in ICU: heart failure and sleep-disordered breathing syndromes.

Critical care clinics

Matthew T Naughton

Affiliations

  1. General Respiratory and Sleep Medicine, Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, Victoria 3004, Australia. [email protected]

PMID: 18538201 DOI: 10.1016/j.ccc.2008.02.004

Abstract

Ventilation during sleep is under tight metabolic control, and can be destabilized by upper airway obstruction leading to snoring or obstructive apneas, inadequate respiratory pump muscle activity leading to hypoventilation, and central control instability leading to changes in metabolic feedback and loop gain. These three physiologic disturbances can lead to obstructive sleep apnea hypopnea syndrome (OSAHS), hypoventilation syndromes, and periodic breathing. OSAHS places a strain on the cardiac output by virtue of hypoxemia, large negative intrathoracic pressures, and high swings in systemic blood pressure. Periodic breathing, also known as central sleep apnea with Cheyne-Stokes pattern of respiration, is likely to be a product of advanced heart failure.

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