Rules, terminology and technical specifications, authorconrad iber and sonia ancoliisrael and andrew l. Conrad iber, et al, 2007 the aasm manual for the scoring of sleep and associated events. Using the new aasm scoring manual on december 12, 2007, in austin, tex. This comprehensive and continuously evolving 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 rules, terminology and technical specifications. Iber and others published the aasm manual for the scoring of sleep and associated events. An australasian commentary on the aasm manual for the scoring.
Rules, terminology and technical specifications is the definitive reference for the evaluation of polysomnography psg and home sleep apnea tests hsats. Current definitions for sleep disordered breathing in adults. Others have defined rdi as the sum of the ahi apneas plus hypopneas per hour of sleep and rera index reras per hour of sleep. There are three eeg channels, two standard eog channels, chin emg and ekg. Variability in recording and scoring of respiratory events. The aasm manual for the scoring of sleep and associated. From the chicago criteria throughout seven published versions of the aasm manual, the scoring of respiratory events has seen many changes. This comprehensive and continuously evolving resource provides rules for scoring sleep stages, arousals, respiratory events. The aasm manual for the scoring of sleep and associated events. For adults, sleep hypoventilation is scored when the arterial pco2 or. The sleep stages, including wake, rem and nrem, were annotated by two experienced sleep specialists according to the aasm 2007 guidelines 40, and a consensus was reached.
The main revisions to sleep scoring from that manual included placement of a. Growing pains 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. The aasm manual for the scoring of sleep and associated events onlineprint bundle description the aasm manual for the scoring of sleep and associated events. How has the aasm manual for sleep stage scoring evolved. The aasm also is offering a course titled interpreting sleep studies. In 2007, after three years of study, the aasm released their update which introduced key changes to the r and k system.
The aasm resource library is your gateway to the latest aasm resources as they are released. This article is based on the updated 2016 american academy of sleep medicine manual for the scoring of sleep and associated events. Among the revisions, the task force recommended that. The aasm manual for the scoring of sleep and associated events online subscription only calendar year library. Initial sleep staging was described in the 1930s, and formal rules for staging sleep were first propagated in 1968. The american academy of sleep medicine manual for scoring of sleep and related events hereafter stated as the aasm manual was first published in 2007. Sleep characteristics and measures of glucose metabolism.
Based on the recommendations of the aasm scoring manual committee, the aasm board of directors approved several changes in this update to the aasm scoring manual. According to the protocol, the sleep specialists provide annotation for all epochs. Marcus, reena mehra, sairam parthasarathy, stuart f. 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. Astaasa commentary on aasm manual for the scoring of. Update of the 2007 aasm manual for the scoring of sleep and associated events. 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. The american academy of sleep medicine interscorer. An australasian commentary on the aasm manual for the. Neither of these documents, the practice parameters for psg 94 or the 2007 scoring manual, defines the metric rdi respiratory disturbance index.
The astaasa commentary on aasm manual for the scoring of sleep and associated events version 1. Aasm manual for the scoring of sleep and associated events. When scoring the epochs, use the rules from the aasm manual for the scoring of sleep and associated events. The aasm manual for the scoring of sleep and associated events 4. 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. 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 1968, commonly known as the r and k rules. Rules, terminology and technical specifications is the definitive reference for. The aasm manual for the scoring of sleep and associated events rules, terminology and technical specifications iber, conrad md on. Conrad iber, et al, 2007 the aasm manual for the scoring of ppt. Aasm manual for the scoring of sleep and associated events, scoring respiratory events in.
Rules, terminology and technical specifications is the definitive reference for the evaluation of polysomnograms. T2 update of the 2007 aasm manual for the scoring of sleep and associated events. Rules, terminology and technical specifications is the definitive reference for the evaluation of polysomnography psg and a home sleep apnea test hsat. Aasm manual for the scoring of sleep and associated events, v2. The aasm manual for the scoring of sleep and associated events onlineprint bundle. Apnea, hypopnea and rera defined sleep apnea matters. Since 2007, most sleep laboratories use terminology and scoring rules from the american academy of sleep medicine aasm manual for the scoring of sleep and associated events, which is routinely updated. The american academy of sleep medicine aasm manual for.
The recommendations in the 2007 aasm manual were based on. The 2007 manual resulted in standardization of sleep monitoring techniques and scoring. 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. Review the changes from the 2007 scoring manual to the new manual identify the visual rules for sleep scoring. The goals of the task force were 1 to clarify and simplify the current scoring rules. Deliberations of the sleep apnea definitions task force of the american academy of sleep medicine. Update of the 2007 aasm manual for the scoring of sleep and associated events richard b. The montage used in each of these epochs is the standard from the scoring manual. Widespread use of the rules has resulted in questions about rule interpretation and application. This comprehensive resource provides rules for scoring sleep stages, arousals, respiratory events during sleep, movements during sleep, and cardiac events. Score respiratory events either 90, 120, or 300 sec. The 2007 aasm manual retained many core components of the key earlier publications including rechtschaffen and kales 2 for sleep staging, the asda recommendations for arousals 3 and the aasm chicago criteria 4 for. Aasm learning portal american academy of sleep medicine.