Improve postoperative sleep

Improve postoperative sleep: what can we do?

PURPOSE OF REVIEW We reviewed evidences regarding occurrence, risk factors, harmful effects, prevention, and management of sleep disturbances in patients after surgery. RECENT FINDINGS Normal sleep is important to maintain physical and mental health. Sleep disturbances frequently occur in patients after surgery. Factors associated with the development of postoperative sleep disturbances inclu...

Does Sleep Improve Memory Organization?

Sleep can integrate information into existing memory networks, look for common patterns and distil overarching rules, or simply stabilize and strengthen the memory exactly as it was learned. Recent research has shown that sleep facilitates abstraction of gist information as well as integration across multiple memories, insight into hidden solutions, and even the ability to make creative connect...

Postoperative sleep disturbances: mechanisms and clinical implications.

Major surgery is beset by complications such as pulmonary, cardiac, thromboembolic and cerebral dysfunction, which cannot be attributed solely to inadequate surgical and anaesthetic techniques, but rather to increased organ demands caused by the endocrine metabolic response to surgical trauma [33]. Postoperative cerebral dysfunction comprises delirium, confusion and milder degrees of mental dys...

Postoperative obstructive sleep apnea and delirium?

1392 December 2012 We read with interest the recent article by Flink et al.1 in which the authors evaluated the frequency of postoperative delirium (POD) in 106 elderly patients aged 65 yr or older after elective knee replacement. The screening for POD was thorough and well-conducted with recognized screening tools, with an incidence of 25% on days 2–3 postoperatively. The pathophysiologic mech...

Neostigmine reversal doesn’t improve postoperative respiratory safety