Impact of Neurochecks on Sleep in Critically Ill Adults

Launched by UNIVERSITY OF CALIFORNIA, SAN DIEGO · May 8, 2023

Keywords

ClinConnect Summary

This clinical trial is investigating how the frequency of neurological checks—called "neurochecks"—affects sleep in critically ill adults who have recently undergone a specific brain procedure known as aneurysm coiling. After a brain injury, patients are usually monitored closely in the intensive care unit (ICU) to ensure their condition is stable. This study will compare two different schedules of neurochecks: every hour or every two hours, to see if one allows for better sleep than the other. Sleep is very important for recovery, and understanding how these checks impact sleep could help improve care in the ICU.

To be eligible for the trial, participants must be adults who have had an uncomplicated elective coiling procedure for an unruptured cerebral aneurysm and do not have any serious previous brain injuries or sleep disorders that could affect the study results. During the study, participants will be assigned to one of the two neurocheck groups after a short initial monitoring period. They will wear equipment that tracks their brain activity and sleep for at least eight hours overnight, allowing researchers to analyze how well they sleep. On the day after the procedure, both the patients and their nurses will complete a survey about the patients' sleep quality. This study is currently recruiting participants, making it an important opportunity for those who qualify.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • a. Adult patients who are status post uncomplicated elective coiling of unruptured cerebral aneurysm.
• Exclusion Criteria:
• • 1. Patients with past or current intracranial injury or disease.
• • 2. Patients with known flow-limiting pathology of carotid arteries, vertebral arteries, or intracranial arteries.
• • 3. Incomplete resolution of aneurysm.
• • 4. Known sleep disorders (e.g., insomnia)
• • 5. Pregnancy.
• • 6. Incarceration.
• • 7. Inability to communicate in English
• • 8. Cognitive impairment or lack of decision-making capacity.
• • 9. Ongoing sedation.
• • 10. Mechanical ventilation