Sleep-Disordered Breathing May Be Under-Recognized in Patients Who Wean From Prolonged Mechanical Ventilation

Abstract

There may be a high prevalence of unrecognized SDB in patients who are candidates for decannulation after weaning from PMV.

Delirium: Is sleep important?

“…71 And, Diaz-Abad et al found a high prevalence of unrecognized sleep-disordered breathing in patients who are candidates for decannulation after weaning from prolonged mechanical ventilation. 72 Similarly, insomnia and periodic leg movements as well as other sleep disorders are very common in elderly patients and in those with chronic disease like COPD, making it difficult to discriminate the effect of mechanical ventilation on sleep quality. 73 …”

Polysomnography: Assessment of decannulation readiness in chronic upper airway obstruction

“…Of note, the incidence of sleep‐disordered breathing identified in this manner was higher in the elderly and those with laryngeal pathology leading to stenosis . Furthermore, emerging evidence suggests that sleep‐disordered breathing may be underappreciated in patients with failure to wean from prolonged mechanical ventilation and in patients following decannulation . Diaz‐Abad et al found that 94.7% of patients who required prolonged mechanical ventilation also had obstructive sleep apnea, and initiation of CPAP allowed successful weaning from mechanical ventilation and subsequent decannulation .…”

Multidisciplinary rehabilitation in ventilator-dependent patients: Call for action in specialized inpatient facilities

“…6 Sleep deprivation or unrecognized sleep disorders may also interfere with weaning. 7 So measures to improve sleep and psychological disorders can impact other outcomes. 8 In fact educational interventions, counseling and stress management can decrease the risk of developing psychological disorders.…”