Practice Parameters Offer Recommendations For The Evaluation And Treatment Of Circadian Rhythm Sleep Disorders

Practice parameters in the 1 November issue of the journal SLEEP , is a guide for the assessment and proper treatment of circadian rhythm sleep disorders (CRSDs). The standards have a positive effect on the professional conduct, patient outcomes and possibly health care costs.


The AASM the standards for practice, practice, the parameters, in order content experts in CRSDs to review and grade evidence in the peer-reviewed scientific literature on the assessment and treatment of CRSDs.


highlights are the following recommendations for the assessment and treatment of CRSDs:


standards (generally accepted patient care strategies, reflects a high degree of clinical safety ):


- Polysomnography rules from another primary sleep disorders in patients with symptoms, based on a CRSD and other primary sleep disorders, but not for the diagnosis of CRSDs.


-Planned asleep before or during the night shift, as well as temporary light exposure in the work environment and ease restrictions in the morning, all the attention and improve the performance of the night shift workers.


- Melatonin administered at the appropriate time, reduces the symptoms of jet lag and improves sleep following travel across several time zones.


Guidelines (patient-care strategies, to a moderate degree of clinical safety):


- The use of a sleep log or diary evaluated patients with suspected CRSD .


- Actigraphy assists in the evaluation of patients with suspected CRSDs. In addition actigraphy is useful as a result of a measure in assessing the response to treatment of CRSDs.


-day melatonin promotes sleep at night shift workers. Modafinil improves attention during the night shift for shift work sleep disorder.


-morning light exposure in the treatment of delayed sleep phase disorder.


options (patient-care strategies, the clinical application uncertain):


-for a shift of work sleep disorder, caffeine improves his attention during the night shift.


- When time at the place of destination is expected to be brief, hold home-based sleep hours, as the adoption of objective sleep hours can reduce sleepiness and Jet Lag symptoms. In addition, the combination of morning exposure to bright light and the shift in sleep schedule an hour earlier each day for three days before the trip to East May fewer symptoms of jet Lag.


ads Sleep Admission of planning, timed exposure to light, or timed Melatonin administration serve as a therapy for patients with advanced sleep phase disorder.


- Chrono Therapy can be helpful for a delayed sleep phase disorder, and ordnungsgem� controlled Melatonin administration.


-Sleep protocols are useful for evaluating patients with a free-running circadian rhythm sleep disorders (FRD).


- Circadian Phase markers are useful to determine circadian phase and confirm the diagnosis of FRD sighted and unsighted in patients. In addition prescribed sleep / wake planning as a method for improving the circadian rhythms can be useful for the treatment of the FRD sighted people. More circadian phase shifting timed out or timed light melatonin application that can be used in the treatment of FRD sighted and blind people.


-daytime light exposure can improve circadian rest-activity rhythms and consolidation of sleep and wake in nursing home residents with dementia and unregelm�igen sleep disorder.


Rochester, Minn., one of the members. "This practice parameter reflect the state of knowledge at the time of development and will be reviewed, updated and revised as new information becomes available."


more information on treatments for sleep disorders by the American Academy of Sleep Medicine (AASM) here.


Those who believe they have sleep disorders should be aware of the fact that many treatment options available. The AASM accredited Full Service Center sleep and sleep disorders associated with breathing disorder laboratories, the diagnosis, treatment, management and long-term care solutions. To AASM accredited institution sleep, please visit http://www.SleepCenters.org.


, SLEEP is the official journal of the Associated Professional Sleep Societies, LLC, a joint venture of the AASM and the Sleep Research Society.


SleepEducation.com, a Web site created by the AASM, provides information about the various sleep disorders, the forms of treatment available, recent news on the subject of sleep, sleep disorders studies, which have been conducted and a list sleep. http://www.aasmnet.org