AASM RESPIRATORY RULES FOR ADULTS

AASM RESPIRATORY RULES FOR ADULTS

For identification of an apnea during a diagnostic study, use an ______________ to
monitor airflow. - Answers -oronasal thermal airflow sensor

For identification of an apnea during a diagnostic study when the oronasal thermal
airflow sensor is not functioning or the signal is not reliable, use one of the following
(alternative apnea sensors): - Answers -a. nasal pressure transducer (with or without
square root transformation)

b. Respiratory inductance plethysmography sum (RIPsum) (calibrated or uncalibrated)

c. Respiratory inductance plethysmography flow (RIPflow) (calibrated or uncalibrated)

d. PVDFsum

For identification of a hypopnea during a diagnostic study, use a _________________
(with or without square root transformation of the signal) to monitor airflow. - Answers -
nasal pressure transducer

For identification of a hypopnea during a diagnostic study when the nasal pressure
transducer is not functioning or the signal is not reliable, use one of the following
(alternative hypopnea sensors): - Answers -a. oronasal thermal airflow

b. RIPsum (calibrated or uncalibrated)

c. RIPflow (calibrated or uncalibrated)

d. dual thoracoabdominal RIP belts (calibrated or uncalibrated)

e. PVDFsum

During positive airway pressure (PAP) titration, use _______________ to identify
apneas or hypopneas. - Answers -the PAP device flow signal

For monitoring respiratory effort, use one of the following: - Answers -a. esophageal
manometry

b. dual thoracoabdominal RIP belts (calibrated or uncalibrated)

c. dual thoracoabdominal PVDF belts

For monitoring oxygen saturation, use pulse oximetry with a maximum acceptable
signal averaging time of ___ seconds at a heart rate of ___ beats per minute. -
Answers -≤3; 80

, For monitoring snoring, use an ___________, ___________, or ____________. -
Answers -acoustic sensor (eg, microphone); piezoelectric sensor; nasal pressure
transducer

For detection of hypoventilation during a diagnostic study, use ___________,
____________, or ___________. - Answers -arterial PCO2, transcutaneous PCO2 or
end-tidal PCO2

For detection of hypoventilation during PAP titration, use ____________ or
_____________. - Answers -arterial PCO2 or use transcutaneous

Thermal sensors include ____________, _____________, or ___________ airflow
sensors. - Answers -thermistors, thermocouples, or polyvinylidene fluoride (PVDF)

***The RIPsum is the sum of the signals from thoracic and abdominal RIP sensors
(belts) and excursions in the signal are an estimate of tidal volume. (Recording is
optional.) - Answers -

***The RIPflow is the time derivative of the RIPsum and excursions in the signal are an
estimate of airflow. (Recording is optional.) - Answers -

***The PVDFsum is the sum of signals from thoracic and abdominal PVDF sensors
(belts). (Recording is optional.) - Answers -

Using the nasal pressure signal with*out* square root transformation for scoring
hypopneas will result in _______________ than scoring using a square root
transformation of the signal. This difference [is/is not] clinically significant in most
patients. - Answers -a slightly higher hypopnea index;

is not

Monitoring snoring is ________ as noted in Parameters to be Reported. - Answers -
optional

Monitoring hypoventilation is _______ as noted in Parameters to be Reported. -
Answers -optional

***Clinical judgment is essential when assessing the accuracy of end-tidal PCO2 and
transcutaneous PCO2 readings. The values should not be assumed to be accurate
surrogates of the arterial PCO2 when the values do not fit the clinical picture. - Answers
-

***The transcutaneous PCO2 sensor should be calibrated with a reference gas
according to the manufacturer's recommendations and when the accuracy of the