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Abstract Sleep is associated with distinct changes in not only the central nervous system but all physiologic systems. Sleep disorders disrupt the delicate balance of these physiologic systems. Mechanical ventilation is associated with altered sleep, recent studies show that the ventilator mode and inappropriate setting can contribute to sleep fragmentation and disruption. Most medications commonly used to treat critically ill patients have the potential to affect sleep. Therefore careful scrunting of the medications given each patient with attention to optimizing sleep should become an integral part of patient care. Optimizing sleep quality in the ICU is vital to a patients overall health the medical community needs to aware of and avoid potential factors that can promote poor sleep. Implementing behavioral protocols in the ICU may reduce a patient’s sleep disturbance, morbidity and mortality while increasing their over -all satisfaction. |