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Calmettes M, Denoyel L, Duclos A, Lejus-Bourdeau C, Blanié A, Forestier C, Ciceron F, Mattatia L, Buleon C, Damm C, Mahoudeau G, Lehot JJ, Rimmelé T, Lilot M. Change in Sleep Quality of Residents the Night Before High-Fidelity Simulation: Results From a Prospective 1-Year National Survey. Turk J Anaesthesiol Reanim 2022; 50:295-302. [PMID: 35979977 PMCID: PMC9524411 DOI: 10.5152/tjar.2022.21235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective: The stress level of participants in high-fidelity simulation stems from various factors but may result in anticipatory anxiety causing sleep disturbances during the night prior to simulation. The objective of this survey was to determine the change in sleep quality of residents during the night prior to the simulation. Methods: The survey was proposed for 1 year to all residents at the beginning of the simulation, in 10 simulation centres. The questionnaire combined demographics and the Leeds Sleep Evaluation Questionnaire using visual analogue scales divided into 4 sleep qualitative domains. The primary outcome was the prevalence of sleep disturbance (>10 mm on 1 domain). Secondary outcomes were the prevalence of severe sleep disturbance (>25 mm), as well as qualitatively and quantitatively reported explanatory sleep parameters. Results: Among respondents, 66% [95% CI: 63 to 69] of residents had more than 10 mm and 27% [95% CI: 24 to 30] had more than 25 mm of sleep disturbance. Residents with a sleep disturbance of more than 10 mm had fewer hours of sleep (6.4 [standard deviation = 1.8] vs 7.3 [standard deviation = 1.3], difference: −0.9 [95% CI: −1.1 to −0.7]; P < .0001), with a higher number of night-time awakenings (1.3 [standard deviation = 1.5] vs 0.7 [standard deviation = 0.9], difference: 0.6 [95% CI: 0.4 to 0.8]; P < .0001). Conclusion: Among residents participating in the simulation, a high prevalence of change in sleep quality during the night before the simulation was noted. Strategies to help residents achieve better sleep prior to simulation should be explored.
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Affiliation(s)
- Marion Calmettes
- Department of Anaesthesiology and Reanimation, Hospices Civils de Lyon, Lyon, France
| | - Lucas Denoyel
- Lyonnais Center for Education by Simulation in Health, Claude Bernard Lyon 1 University, SAMSEI, Lyon, France
| | - Antoine Duclos
- Department of Health Data, Hospices Civils de Lyon, Lyon, France
- Research on Healthcare Performance (RESHAPE), Claude Bernard Lyon 1 University, Lyon, France
| | - Corinne Lejus-Bourdeau
- Department of Anaesthesia and Surgical Resuscitation, Hôtel Dieu, Nantes University Hospital, Nantes, France
| | - Antonia Blanié
- Department of Anaesthesiology and Surgical Resuscitation, CHU Bicêtre LabForSIMS Faculty of Medicine, Paris-Sud, Le Kremlin Bicêtre, France
| | - Caroline Forestier
- CEnSIM Savoie Emergency Care - Savoie Simulation Education Center, Savoie Metropole Hospital Center, France
| | | | - Laurent Mattatia
- Department of Anaesthesia, Reanimation and Pain Emergency, SIMHU-Nîmes Medical Simulation Center, Carémeau Hospital Group, Nîmes University Hospital, France
| | - Clément Buleon
- Normandy Health Simulation Center (NorSimS), Caen University Hospital, France
| | - Cédric Damm
- Emergency Care Teaching Center, CESU, University Hospital Center of Rouen, France
| | - Gilles Mahoudeau
- UNISIMES European Health Simulation Unit, Strasbourg University Faculty of Medicine, France
| | - Jean-Jacques Lehot
- Department of Anaesthesiology and Reanimation, Hospices Civils de Lyon, Lyon, France
- Lyonnais Center for Education by Simulation in Health, Claude Bernard Lyon 1 University, SAMSEI, Lyon, France
- Research on Healthcare Performance (RESHAPE), Claude Bernard Lyon 1 University, Lyon, France
| | - Thomas Rimmelé
- Department of Anaesthesiology and Reanimation, Hospices Civils de Lyon, Lyon, France
- Lyonnais Center for Education by Simulation in Health, Claude Bernard Lyon 1 University, SAMSEI, Lyon, France
- University of Claude Bernard Lyon 1-Bio mericux-Hospices Civils de Lyon, Lyon, France
| | - Marc Lilot
- Department of Anaesthesiology and Reanimation, Hospices Civils de Lyon, Lyon, France
- Lyonnais Center for Education by Simulation in Health, Claude Bernard Lyon 1 University, SAMSEI, Lyon, France
- Research on Healthcare Performance (RESHAPE), Claude Bernard Lyon 1 University, Lyon, France
- Corresponding author: Marc Lilot, e-mail:
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Calmettes M, Girardot T, Rimmelé T. Épuration extra-corporelle et immunomodulation dans le sepsis. Méd Intensive Réa 2020. [DOI: 10.37051/mir-00009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Le choc septique est fréquent et représente la première cause de mortalité en réanimation. Malgré des recommandations internationales mises à jour régulièrement (Surviving Sepsis Campaign) et les progrès de la réanimation, la mortalité reste très élevée (jusqu’à 40%), en partie du fait des conséquences d’une réponse immuno-inflammatoire de l’hôte « dérégulée ». Le rationnel physiopathologique des techniques extra-corporelles d’immunomodulation dans le choc septique repose sur un meilleur contrôle de cette réponse de l’hôte. De nombreuses techniques sont proposées, certaines combinant l’élimination des cytokines et/ou des endotoxines avec l’épuration extra-rénale. La littérature scientifique est relativement abondante à ce sujet. Les grands essais cliniques multicentriques récents ne confirment pas les résultats expérimentaux et précliniques prometteurs. La recherche expérimentale et clinique doit se poursuivre dans ce domaine. Nous proposons dans cet article une revue de la littérature des différentes techniques extracorporelles d’immunomodulation dans le choc septique.
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