None listed
Conditions
Brief summary
The purpose of this study is to investigate whether the use of earplugs at night will improve our patients sleep and reduce the numbers of patients who develop delirium (a sudden change in your health condition that may include confused thinking or unsettled behaviour) while in ICU.
Interventions
Intervention arm: Use of ear plugs overnight by eligible ICU patients The intervention group will be supplied with foam earplugs (3M Classic foam earplug) to be used from 22:00 to 06:00 hours, for 2 nights. Participants will be asked to complete the Richards Campbell Sleep Questionnaire (RSCQ) on the morning of the 3rd day. Hours of ear plug use will be recorded, with ICU nurse to monitor for ear plugs being in situ during regular overnight observations Hours of sleep/wake will be recorded, with ICU nurse to monitor for sleep / wake during regular overnight observations Participants will be screened twice daily by ICU trained nurses using the validated Confusion Assessment Method (CAM). Staff conducting CAM assessments are not blinded. CAM assessment once per shift is standard care.
Sponsors
Study design
Eligibility
Inclusion criteria
1. adults aged 18 years and over; 2. expected length of stay in the ICU of more than 48 hours; 3. ability of patients to communicate verbally and understand the sleep questionnaire; and 4. able to provide informed consent.
Exclusion criteria
1. Mechanically ventilated and sedated patients; 2. pre-existing cognitive impairment in the medical record; 3. contraindications for use of ear plugs e.g acute brain injury as ICU admission diagnosis, use of hearing aids; and 4. prior enrolment.