Melatonin: buffering the immune system

A Carrillo-Vico, PJ Lardone… - International journal of …, 2013 - mdpi.com
Melatonin modulates a wide range of physiological functions with pleiotropic effects on the
immune system. Despite the large number of reports implicating melatonin as an …

Interventions for preventing intensive care unit delirium in adults

SF Herling, IE Greve, EE Vasilevskis… - Cochrane Database …, 2018 - cochranelibrary.com
Background Delirium is defined as a disturbance in attention, awareness and cognition with
reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the …

Sleep and circadian rhythm in critical illness

I Telias, ME Wilcox - Annual Update in Intensive Care and Emergency …, 2019 - Springer
Sleep is controlled by two major regulatory systems: a circadian system that drives 24-h
periodicity (Process C), and a homeostatic system (Process S) that ensures adequate …

[HTML][HTML] Melatonin for the treatment of sepsis: the scientific rationale

RMLC Biancatelli, M Berrill… - Journal of thoracic …, 2020 - ncbi.nlm.nih.gov
Sepsis affects 30 million people worldwide, leading to 6 million deaths every year (WHO),
and despite decades of research, novel initiatives are drastically needed. According to the …

Causes, consequences, and treatments of sleep and circadian disruption in the ICU: an official American Thoracic Society Research Statement

MP Knauert, NT Ayas, KJ Bosma, X Drouot… - American journal of …, 2023 - atsjournals.org
Background: Sleep and circadian disruption (SCD) is common and severe in the ICU. On the
basis of rigorous evidence in non-ICU populations and emerging evidence in ICU …

Abnormal sleep, circadian rhythm disruption, and delirium in the ICU: are they related?

M Daou, I Telias, M Younes, L Brochard… - Frontiers in …, 2020 - frontiersin.org
Delirium is a syndrome characterized by acute brain failure resulting in neurocognitive
disturbances affecting attention, awareness, and cognition. It is highly prevalent among …

[HTML][HTML] Environmental 24-hr cycles are essential for health

EA Lucassen, CP Coomans, M van Putten, SR de Kreij… - Current Biology, 2016 - cell.com
Circadian rhythms are deeply rooted in the biology of virtually all organisms. The pervasive
use of artificial lighting in modern society disrupts circadian rhythms and can be detrimental …

[HTML][HTML] Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit

M Engwall, I Fridh, L Johansson, I Bergbom… - Intensive and Critical …, 2015 - Elsevier
Patients in an intensive care unit (ICU) may risk disruption of their circadian rhythm. In an
intervention research project a cycled lighting system was set up in an ICU room to support …

Circadian rhythm disruption in the critically ill: an opportunity for improving outcomes

MA Oldham, HB Lee, PH Desan - Critical care medicine, 2016 - journals.lww.com
Objectives: Circadian rhythms are severely disrupted among the critically ill. These circadian
arrhythmias impair mentation, immunity, autonomic function, endocrine activity, hormonal …

Dynamic light application therapy to reduce the incidence and duration of delirium in intensive-care patients: a randomised controlled trial

KS Simons, RJF Laheij… - The lancet Respiratory …, 2016 - thelancet.com
Background Disturbed circadian rhythm is a potentially modifiable cause of delirium among
patients in intensive-care units (ICUs). Bright-light therapy in the daytime can realign …