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Jasper C Ho, Ader Q Asaria, Elizabeth Munroe

Vasopressors are a mainstay of treatment for patients with shock.1 Historically, prolonged or high-dose vasopressors have been administered through central venous catheters (CVCs), a practice that stems from safety concerns following early reports of severe ischemic tissue injury due to peripheral vasopressor extravasation.2–4 Peripheral intravenous (PIV) access in these reports was often via metal cannulae secured with the venous […]

Margaret Pisani, CHEST 2020 – Sleep and Circadian Rhythm

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Published Online: Oct 30th 2020

We caught up with our Editorial Board member Margaret Pisani (Yale University School of Medicine, New Haven, CT, USA) to talk about her presentation at CHEST 2020 Virtual around sleep and circadian rhythm.

Questions

1. What are the alterations to sleep and circadian rhythm that are seen in the ICU? Do these affect outcomes? (0:07)
2. What biomarkers are useful in the assessment of circadian rhythms in patients in the ICU? (1:57)
3. What are the factors contributing to the alteration in circadian rhythm in ICU patients? (3:21)
4. Which interventions during the day and night may help maintain normal circadian rhythm in patients in the ICU? (5:05)
5. What clinical evidence supports this intervention and what further studies are needed? (5:48)

Disclosures: Margaret Pisani has nothing to disclose in relation to this video interview.

Support: Interview and filming supported by Touch Medical Media.

Filmed in coverage of the CHEST 2020 Annual Meeting (Virtual).

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