2017, Número 6
<< Anterior Siguiente >>
Med Crit 2017; 31 (6)
Ruido en la Unidad de Cuidados Intensivos: el silencio en la Unidad de Cuidados Intensivos es la mejor terapia
Carrillo ER, Carrillo CDM, Carrillo CLD, Carrillo CJR
Idioma: Español
Referencias bibliográficas: 29
Paginas: 339-344
Archivo PDF: 150.93 Kb.
RESUMEN
El ruido se define como cualquier sonido que produce un efecto fisiológico o psicológico indeseado en un individuo o grupo. La Organización Mundial de la Salud recomienda que el ruido de fondo no exceda los 30 decibelios A (dBA). El ruido en los hospitales —y en particular, en las Unidades de Cuidados Intensivos (UCI)— excede los niveles recomendados, superando los 60 a 70 dBA. El ruido afecta tanto a los enfermos como al personal. Estudios han mostrado que el ruido en las UCI es un estresor físico, psicológico y social, y es un factor de riesgo para delirium. La implementación de procesos encaminados a combatir el ruido, la educación del personal y un adecuado diseño de las UCI son fundamentales para combatir este problema habitualmente infraestimado.
REFERENCIAS (EN ESTE ARTÍCULO)
Berglund B, Lindvall T, Schwela DH. Guidelines for community noise. Geneve: World Health Organization; 1999.
Busch-Vishniac IJ, West JE, Barnhill C, Hunter T, Orellana D, Chivukula R. Noise levels in Johns Hopkins Hospital. J Acoust Soc Am. 2005;118:3629-3645.
Choiniere DB. The effects of hospital noise. Nurs Adm Q. 2010;34(4):327-333.
Xie H, Kang J, Mills HG. Clinical review: The impact of noise on patient’s sleep and the effectiveness of noise reduction strategies in Intensive Care Units. Crit Care. 2009;13(2):208.
Falk SA, Woods NF. Hospital noise. Levels and poential health hazards. N Engl J Med. 1973;289:774-781.
MacKenzie D, Galbrum L. Noise levels and noise sources in acute care hospital wards. Building Serv Eng Res Technol. 2007;28:117-131.
Lawson N, Thompson K, Saunders G, Saiz J, Richardson J, Brown D, et al. Sound intensity and noise evaluation in a critical care unit. Am J Crit Care. 2010;19(6):e88-98; quiz e99.
Elliot RM, McKiney SM, Eager D. A pilot study of sound levels in an Australian adult general intensive care unit. Noise Health. 2010;12(46):26-36.
Kahn DM, Cook TE, Carlisle CC, Nelson DL, Kramer NR, Millman RP. Identification and modification of environmental noise in an ICU setting. Chest. 1998;114(2):535-540.
Berglund B, Lindvall T, Schwela DH. Guidelines for community noise. Available in: http://www.who.int/docstore/peh/noise/guidelines2.htlm
Matook SA, Sullivan MC, Salisbury A, Miller RJ, Lester BM. Variations of NICU sound by location and time of day. Neonatal Netw. 2010;29(2):87-95.
Dube JA, Barth MM, Cmiel CA, Cutshall SM, Olson SM, Sulla SJ, et al. Enviromental noise sources and interventions to minimize them: a tale of 2 hospitals. J Nurse Care Qual. 2008;23(3):216-224.
Konkani A, Oakley B. Noise in hospital intensive care units. A critical review of a critical topic. J Crit Care. 2012;27(5): 522.e1-9.
Frisk U, Nordström G. Patient’s sleep in an intensive care unit. Patients and nurses perception. Intensive Crit Care Nurs. 2003;19(6):342-349.
Freedman NS, Gazendam J, Levan L, Pack AI, Schwab RJ. Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. Am J Resp Crit Care Med. 2001;163(2):451-457.
Moldofsky H, Lue FA, Davidson JR, Gorczynski R. Effects of sleep deprivation on human immune functions. FASEB J. 1989;3:1972-1977.
Benca RM, Quintas J. Sleep and host defenses. A review. Sleep. 1997;20(11):1027-1037.
Huang W, Ramsey MK, Marchena B, Bass J. Circadian rhytms, sleep and metabolism. J Clin Invest. 2011;121(6):2133-2141.
Munzel T, Gori Tommaso, Babisch W, Basner M. Cardiovascular effects of environmental noise exposure. Eur Heart J. 2014;35(13):829-836.
Babisch W. The noise/stress concept. Risk assessment and research needs. Noise Health. 2002;4(16):1-11.
Cooper AB, Thornley KS, Young GB, Slutsky AS, Stewart TE, Hanly PJ. Sleep in critically ill patients requiring mechanical ventilation. Chest. 2000;117(3):809-818.
Younes M. Apnea following mechanical ventilation may not be caused by neuromechanical influences. Am J Respir Crit Care Med. 2001;163(6):1298-1301.
Krueger C, Schue S, Parker L. Neonatal intensive care unit sound levels before and after structural reconstruction. MCN Am J Matern Child Nurs. 2007;32(6):358-362.
Blomkvist V, Ericksen CA, Theorell T, Ulrich R, Rasmanis G. Acoustics and psychosocial enviroment in intensive coronary care. Occup Environ Med. 2005;62(3):e1.
Monsén MG, Edéll-Gustafsson UM. Noise and sleep disturbance factors before and after implementation of a behavioural modification programme. Intensive Crit Care Nurs. 2005;21(4):208-219.
Dennis CM, Lee R, Woodard EK, Szalaj JJ, Walker CA. Benefits of a quiet time for neuro-intensive care patients. J Neurosci Nurs. 2010;42(4):217-224.
Eliassen KM, Hopstock LA. Sleep promotion in the intensive care unit- A survey of nurses’ interventions. Intensive Crit Care Nurs. 2011;27(3):138-142.
Wallace CJ, Robins J, Alvord LS, Walker JM. The effect of earplugs on sleep measures during exposure to simulated intensive care unit noise. Am J Crit Care. 1999;8(4):210-219.
Castro R, Angus DC, Rosengart MR. The effect of light on critical illness. Crit Care. 2011;15:218.