Aldrete Score

Did you look into perioperative nursing discussions? They might have something there for you.

It's a scoring system in several categorites to determine how patient is recovering from anesthesia:

Aldrete Score

Category 1:Activity *2 Able to move 4 extremities voluntarily/on command

1 Able to move 2 extremities voluntarily/on command

0 Able to move 0 extremities voluntarily/on command

Category 2:Respiration 2 Able to deep breathe and cough freely

**1 Dyspnea or limited breathing, mechanic airway

0 Apneic, assisted breathing (mechanical/manual)

Category 3: Circulation 2 BP + 20% of preanesthetic level, stable pulse

1 BP + 20-50% of preanesthetic level, variable pulse

0 BP + 50% of preanesthetic level, variable pulse

Category 4: Consciousness 2 Fully awake, oriented x3

1 Arousable on calling

0 Not responding, or only to pain

CATEGORY 5: Color 2 Pink or normal

1 Pale or dusky, jaundiced

0 Cyanotic

* Except if surgical site restricts, may be 2 extremities.

** Any nasal, oral, endo tube, trach tube.

Best score is usually 10/10...

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The original Aldrete Score is no longer used in post aneshesia care units (PACUs). The last category which addresses color is not a good indicator of oxygenation.

The modified Aldrete score is now being used which addresses oxygenation:

Oxygen Saturation
SpO2 > 92% 2
SpO2 92% or greater
with suplemental O2 1
SpO2 < 92% with
supplemental O2 0

A score of 9 or return of pre-anesthesia status is usually required for a patient to be discharged from the PACU.

A current post anesthesia book will have an explanation of this scoring system