The effectiveness of noise interventions in the ICU

dc.contributor.authorDelaney, Lori
dc.contributor.authorLitton, Edward
dc.contributor.authorVan Haren, Frank
dc.date.accessioned2021-01-21T22:36:49Z
dc.date.issued2019
dc.date.updated2020-11-02T04:22:08Z
dc.description.abstractPurpose of review Excessive noise has direct adverse physiological and psychological effects, and may also have indirect negative health consequences by reducing sleep quality and quantity. This review presents a synthesis of the epidemiology of noise in the ICU, and the potential interventions designed to attenuate noise and protect patients. Recent findings Noise increases cortisol release, oxygen consumption, and vasoconstriction. ICU noise levels are excessive throughout the 24-h cycle, irrespective of level of intervention or whether the patient is in a side room or open ward. Direct measurement suggests that noise is a substantial contributor to poor sleep quantity and quality in the ICU and is frequently recalled by survivors of critical illness as a negative experience of ICU admission. Noise abatement, environmental masking and pharmacological interventions may all reduce the impact of noise on patients. However, the sustainability of behavioural interventions remains uncertain and high-quality evidence demonstrating the benefit of any intervention on patient-centered outcomes is lacking. Summary Noise levels in the ICU are consistently reported to reach levels likely to have both direct and indirect adverse health consequences for both patients and staff. Noise reduction, abating the transmission of noise and pharmacological modulation of the adverse neural effects of noise are all potentially beneficial strategies, although definitive evidence of improved patient-centered outcomes is lacking.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn0952-7907en_AU
dc.identifier.urihttp://hdl.handle.net/1885/219986
dc.language.isoen_AUen_AU
dc.publisherLippincott Williams & Wilkins Ltd.en_AU
dc.rightsCopyright 2019 Wolters Kluwer Health, Inc
dc.sourceCurrent Opinion in Anaesthesiologyen_AU
dc.subjectchronopharmacologyen_AU
dc.subjectdeliriumen_AU
dc.subjectintensive careen_AU
dc.subjectnoiseen_AU
dc.subjectsleep disturbanceen_AU
dc.titleThe effectiveness of noise interventions in the ICUen_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.issue2en_AU
local.bibliographicCitation.lastpage149en_AU
local.bibliographicCitation.startpage144en_AU
local.contributor.affiliationDelaney, Lori, Non-ANU institution, The Canberra Hospitalen_AU
local.contributor.affiliationLitton, Edward, St John of God Subiaco Hospitalen_AU
local.contributor.affiliationVan Haren, Frank, College of Health and Medicine, ANUen_AU
local.contributor.authoremailu5411234@anu.edu.auen_AU
local.contributor.authoruidDelaney, Lori, u5411234en_AU
local.contributor.authoruidVan Haren, Frank, u5325459en_AU
local.description.embargo2099-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor110310 - Intensive Careen_AU
local.identifier.absseo920199 - Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classifieden_AU
local.identifier.absseo920204 - Evaluation of Health Outcomesen_AU
local.identifier.ariespublicationu3102795xPUB1067en_AU
local.identifier.citationvolume32en_AU
local.identifier.doi10.1097/ACO.0000000000000708en_AU
local.identifier.scopusID2-s2.0-85062416591
local.identifier.uidSubmittedByu3102795en_AU
local.type.statusPublished Versionen_AU

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