The aim of this document was to provide a commentary on the aasm manual for scoring of sleep and associated events in an australasian context. Astaasa commentary on aasm manual for scoring of the astaasa commentary on aasm manual for the scoring of sleep and associated events version 1. In 2007 the american academy of sleep medicine aasm published rules for scoring respiratory events in the aasm manual for the scoring of sleep and associated events, 1 st ed. Update of the 2007 aasm manual for the scoring of sleep and associated events 1. Astaasa addendum to aasm guidelines for recording and. Interrater reliability for sleep scoring according to the.
Aasm scoring manual version 2 american academy of sleep. American academy of sleep medicine 2015 essentials of polysomnography 2. Recommendations for changes in terminology should be made with great care, especially when terminology is a core topic, as indicated by the subtitle of the aasm manual, rules, terminology, and technical specifications. Commentary from the italian association of sleep medicine. Historically, change in any growing medical field appears to engender debate, and the presentation of the new scoring rules for sleep is not immune from such arguments. In june 2007, the american academy of sleep medicine aasm completed a new manual for the scoring of sleep and associated events.
The task force consisted of nine of the original thirteen individuals who authored. Astaasa commentary on aasm manual for the scoring of. Further reading the aasm annual for the scoring of sleep and associated events. This manual represents the evolution and development of the 2007 aasm manual which was itself a restructuring, consolidation, and standardization of the original rechtshaffen and kales sleep scoring manual of 196. From the chicago criteria throughout seven published versions of the aasm manual, the scoring of respiratory events has seen many changes. Update of the 2007 aasm manual for the scoring of sleep and associated events. For the american academy of sleep medicine the aasm manual. The american academy of sleep medicine aasm manual for. Using the new aasm scoring manual course is december 1 2, 2007, in austin, texas. Aasm learning portal from american academy of sleep medicine. The aasm manual for the scoring of sleep and associated events is the definitive reference for the evaluation of polysomnography psg and home sleep apnea tests hsats. Apnea, hypopnea and rera defined sleep apnea matters.
This comprehensive resource provides rules for scoring sleep stages, arousals, respiratory events during sleep, movements during sleep, and cardiac events. The aasm manual for the scoring of sleep and associated events onlineprint bundle. To examine the impact on inter and intrascorer reliability, all 3 scorers scored a subset of 10 psgs 4 times, twice using each method. The aasm manual for the scoring of sleep and associated events.
The 2007 manual resulted in standardization of sleep monitoring techniques and scoring, improving. The articles were followed by the release of a manual, with recommendations for visual scoring of sleep stages, arousals, cardiac events, movement events, and. Rules, terminology and technical specifications is the definitive reference for. In the recently published american academy of sleep medicine aasm scoring manual for sleep stages, 1 the term phasic was replaced throughout by transient. Review the changes from the 2007 scoring manual to the new manual identify the visual rules for sleep scoring. Aasm learning portal american academy of sleep medicine. Rules, terminology, and technical specifications is the result of years of deliberations and research among colleagues and industry concerning standardization of practices and technology in the field of sleep medicine. Aasm manual for the scoring of sleep and associated events. Score respiratory events either 90, 120, or 300 sec. The 2007 aasm recommendations for eeg electrode placement. This comprehensive and continuously evolving resource provides rules for scoring sleep stages, arousals, respiratory events. The main revisions to sleep scoring from that manual included placement of a.
Among the revisions, the task force recommended that. An australasian commentary on the aasm manual for the. The american academy of sleep medicine published the first comprehensive and standardized scoring rules for sleep recordings in 2007. For adults, sleep hypoventilation is scored when the arterial pco2 or. Rules, terminology, and technical specifications lis the result of years of deliberations and research among colleagues and industry concerning standardization of practices and technology in the field of sleep. Rules, terminology, and technical specifications is the result of years of deliberations and research among colleagues and industry concerning. In march 2007, the american academy of sleep medicine aasm published a series of articles in the journal of clinical sleep medicine jcsm outlining proposed changes to existing scoring criteria for sleep and related events. Rules, terminology and technical specifications version 2. The aasm also is offering a course titled interpreting sleep studies. Using the new aasm scoring manual on december 12, 2007, in austin, tex. The aasm manual for the scoring of sleep and associated. T2 update of the 2007 aasm manual for the scoring of sleep and associated events. Aasm scoring manual american academy of sleep medicine. The aasm manual for the scoring of sleep and associated events rules, terminology and technical specifications iber, conrad md on.
In fact when commenting on the 2007 aasm manual for the scoring of sleep and associated events, 1 the italian association of sleep medicine 32 suggested that without significant improvement there is no reason to justify the, technical, economic and scientific sacrifices required to adopt the new recommendations. Aasm manual scribd the aasm manual for the scoring of sleep and associated events. Technologists handbook for understanding and implementing the scoring manual online library. Rules, terminology and technical specifications is the definitive reference for the evaluation of polysomnograms. The aasm manual for the scoring of sleep and associated events rules, terminology and technical specifications. For adults, sleep hypoventilation is scored when the arterial pco 2 or surrogate is 55 mm hg for. Update of the 2007 aasm manual for the scoring of sleep and associated events richard b. Rules, terminology and technical specifications is the definitive reference for the evaluation of polysomnography psg and a home sleep apnea test hsat. How has the aasm manual for sleep stage scoring evolved. The american academy of sleep medicine aasm manual for the scoring of sleep and associated events 2007, together with associated documentation, provides guidelines for polysomnography recording and interpretation which have been valuable in standardising practice, particularly in north america. The publication of the aasm manual for the scoring of sleep and associated events in 2007 was a landmark event and the culmination of thousands of hours of hard work by many dedicated individuals. International guidelines for sleep staging are available and are generally wellaccepted as the gold standard.
This article is based on the updated 2012 american academy of sleep medicine manual for the scoring of sleep and associated events. Aasm manual for the scoring of sleep and associated events, scoring respiratory events in. All psgs were deidentified and scored in random order according to the 2007 aasm manual for the scoring of sleep and associated events. In the 2007 manual of the american academy of sleep medicine aasm, all parameters for a cardiorespiratory polysomnography psg were published for the first time in an evidencebased manner including technical specifications and rules for derivations and scoring. Rules, terminology and technical specifications, 1st ed westchester, illinois. Faqs for scoring manual posted online american academy. Iber c, ancoliisrael s, chesson a, and quan sf for the american academy of sleep medicine. For pediatric patients hypoventilation is scored when the arterial pco. A panel of australasian sleep professionals developed the commentary. The aasm manual for the scoring of sleep and associated events online subscription only calendar year library. Iber and others published for the american academy of sleep medicine the aasm manual for the scoring of sleep and associated events find, read and cite all the. General session materials american association of sleep. In 2007, after three years of study, the aasm released their update which introduced key changes to the r and k system. Iber and others published the aasm manual for the scoring of sleep and associated events.
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