The somnological aspects of the patient's stay in the resuscitation and intensive care unit

Sleep in the physiological sense is an important element of the circadian rhythm. Depends on it vegetative stability, and most importantly - psycho-emotional state of a person. The quality of sleep reflects almost any pathological condition, in particular, requiring a stay in the intensive care unit and intensive care. The mode of round-the-clock activity, noise of equipment, application of sedating medications are only obvious factors of development of so-called resuscitation insomnia, i.e. sleep disorders due to being in the resuscitation and intensive care unit. Extremely little research is devoted to this problem, which is understandable, since the use of the reference method of polysomnography under specific conditions of the intensive care unit is technologically difficult. From the review of the literature it becomes obvious that the sleep architecture is disrupted in almost all patients of resuscitation, superimposing on a premorbidly existing or as a new syndrome. Undiagnosed and developing manifestations of insomnia prevent early recovery and can become a source of long-term consequences. The article contains excerpts from the clinical recommendations "Rehabilitation in intensive care", aimed at preventing the development of resuscitation insomnia.

reanimation insomnia, rehabilitation in intensive care, polysomnography, melatonin