Carrillo-Esper R, Carrillo-Córdova DM, Carrillo-Córdova CA, Bracho-Olvera HR

Idioma: Español
Referencias bibliográficas: 59
Paginas: 618-633
Archivo PDF: 567.70 Kb.

RESUMEN

El sueño favorece una mejor evolución y recuperación en los enfermos graves. Las alteraciones del sueño afectan con frecuencia a los enfermos internados en la unidad de terapia intensiva, su causa es multifactorial y se asocia con alteraciones del sistema inmunitario, disfunción en el anabolismo, retardo en los procesos regenerativos, desorganización neurofisiológica, disfunción cognitiva, delirio, incremento en los días de hospitalización y mortalidad. Las alteraciones del sueño en el paciente grave se caracterizan por anomalías del ritmo circadiano sueño-vigilia, índice elevado de despertares, fragmentación, reducción del sueño de ondas lentas y disfunción grave de la fase de movimientos oculares rápidos. Las intervenciones para su tratamiento son no farmacológicas y farmacológicas. De las farmacológicas la melatonina es un agente terapéutico promisorio para la profilaxis y para el tratamiento. El objetivo de este trabajo es revisar los conceptos actuales relacionados con la disfunción del sueño en el enfermo grave, su repercusión en la práctica clínica y las medidas a implementar para su profilaxis y tratamiento.

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