Hypopneas

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Hypopneas

Postby Onesight1 » Mon Mar 26, 2018 8:35 am

Hey guys,

When presented with a patient who is having multiple episodes of UAR in the PTAF channel and greater than 4% desaturations..... but the reduction in airflow amplitude is not 30%, have you seen yourself to score them as hypopnea anyways to either qualify patient during SPLIT or simply make them relevant as it is clinically significant??
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Re: Hypopneas

Postby somnonaut » Wed Sep 05, 2018 1:47 pm

Interesting.
Placement of cannula is paramount for UARS determination. If there is an arousal along with the desat, I would be forced to include it, at least as a RERA event, so as it helps add fuel to the fire.
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Re: Hypopneas

Postby RayMeece » Fri Sep 21, 2018 7:52 am

I agree with Somnonaut - what you describe is a clear example of a RERA. We have to be careful about bending the rules because something meets criteria that we think is "clinically significant". According to the Scoring Manual, and Medicare criteria, if it doesn't meet the 30% amplitude criteria, then it is not really clinically significant.
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