Common Sleep Problems In ICU: Heart Failure And Sleep-Disordered Breathing Syndromes

INTRODUCTION

Matthew T. Naughton, MD, FRACP

Heart failure and sleep-disordered breathing are important to the intensivist. Sleep is frequently the ‘‘stress’’ that destabilizes cardiac function and results in the symptoms that many patients develop that require admission to ICU. Sleep-related breathing disorders are intertwined with cardiovascular disease by virtue of their shared real estate (ie, the lungs) and common interacting cardiopulmonary physiology. The therapies that have been used to manage long-term obstructive sleep apnea–hypopnea syndrome (OSAHS) and hypoventilation disorders with various noninvasive ventilation (NIV) devices (bilevel positive airway pressure [PAP], continuous PAP [CPAP], volume-cycled portable devices) in the domiciliary setting have been used as the backbone in the development of comfortable, portable, and effective NIV devices that are used by intensivists and emergency physicians to manage acute cardiac and respiratory failure today. (Crit Care Clin. 2008 Jul;24(3):565-87, vii-viii. doi: 10.1016/j.ccc.2008.02.004)

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