Modified_Aldrete_Score_guideline v.1
The modified Aldrete score is used to evaluate patients from the Post Anaesthesia Care Unit (PACU), with the purpose to check whether they can be safely discharged.
To evaluate patients from the Post Anaesthesia Care Unit (PACU), with the purpose to check whether they can be safely discharged.
The score accounts for consciousness, mobility, breathing, circulation, tegument color, and O2 saturation. Variables: - Consciousness: Fully awake (2), Arousable (1), Not responding (0) - Mobility: Able to move four extremities on command (2), Able to move two extremities on command (1), Able to move 0 extremities on command (0) - Breathing: Able to breathe deeply (2), Dyspnea (1), Apnea (0) - Circulation: Systemic BP ≠ 20% of the preanesthetic level (2), Systemic BP between 20% and 49% of the preanesthetic level (1), Systemic BP ≠ 50% of the preanesthetic level (0) - Color: Normal (2), Pale, jaundiced, blotchy (1), Cyanotic (0) - O2 saturation: Maintaining O2 saturation >90% on room air (2), Needs inhalation to maintain O2 saturation >90% (1), O2 saturation <90% despite O2 supplementation (0) The total sum of each component parameter for the modified Aldrete score. Interpretation: Patients with values of 9 or greater who have an appropriate escort can be discharged from the unit.
Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth. 1995 Feb;7(1):89-91. doi: 10.1016/0952-8180(94)00001-k. PMID: 7772368. Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg. 1970 Nov-Dec;49(6):924-34. PMID: 5534693. Trevisani L, Cifalà V, Gilli G, Matarese V, Zelante A, Sartori S. Post-Anaesthetic Discharge Scoring System to assess patient recovery and discharge after colonoscopy. World J Gastrointest Endosc. 2013 Oct 16;5(10):502-7. doi: 10.4253/wjge.v5.i10.502. PMID: 24147194; PMCID: PMC3797903.
OBSERVATION.modified_aldrete.v0, EVALUATION.modified_aldrete_assessment.v0
