Postoperative Sleep Disorders and Their Potential Impacts on Surgical Outcomes

Overview

Journal J Biomed Res

Specialty General Medicine

Date 2020 Jun 11

PMID 32519977

Citations 35

Authors

Sanketh Rampes

Katie Ma

Yasmin Amy Divecha

Azeem Alam

Daqing Ma

Affiliations

Soon will be listed here.

Abstract

Postoperative sleep disturbance is a common occurrence with significant adverse effects on patients including delayed recovery, impairment of cognitive function, pain sensitivity and cardiovascular events. The development of postoperative sleep disturbance is multifactorial and involves the surgical inflammatory response, the severity of surgical trauma, pain, anxiety, the use of anesthetics and environmental factors such as nocturnal noise and light levels. Many of these factors can be managed perioperatively to minimize the deleterious impact on sleep. Pharmacological and non-pharmacological treatment strategies for postoperative sleep disturbance include dexmedetomidine, zolpidem, melatonin, enhanced recovery after surgery (ERAS) protocol and controlling of environmental noise and light levels. It is likely that a combination of pharmacological and non-pharmacological therapies will have the greatest impact; however, further research is required before their use can be routinely recommended.

Citing Articles

Effects of pharmacological therapy on sleep quality in a postoperative setting: A systematic review of randomized controlled trials.

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Comparison of the Effect of Adding Dexmedetomidine as an Adjuvant to Bupivacaine for Postoperative Pain Management in Patients Undergoing Shoulder Rotator Cuff Repair - A Randomized Clinical Trial.

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Optimizing Sleep Disorder Management in Hospitalized Patients: Practical Approach for Healthcare Providers.

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Effect of General Anesthesia Combined with Transversus Abdominis Plane Block on Postoperative Sleep Disorders in Elderly Patients Undergoing Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial.

Pu J, Guo C, Xiao Y, Cao Y, Liu Z, Jin Y Nat Sci Sleep. 2025; 17():17-25.

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Latent profiles and determinants of postoperative sleep quality in elective surgery patients.

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