ALDRETE SCORE
POST-ANASTHESI Score
(The aldrete scoring system is commonly used for determining when patients can be safely discharged from the postanasthesia care unit (PACU) to either postsurgical ward or
to second phase stage (Phase II) recovery area.it use to determine the fast-track eligibility of outpatient undergoing ambulatory surgery. A total discharge score of 8-10 is
necessary)
Post-anasthesia Score
Preanasthesia vital sign/source
Activity
Can move voluntary or on command :
TIME
4 extremities
2 extremities
0 extremities
Breathe deeply and cough
0
2
Dyspnea, hypoventilation
Apneu
BP 20 mmHg of baseline
0
2
BP 20-50 mmHg of baseline
BP >50mmHg of baseline
Fully awake
0
2
Arousable on calling
Color/Oxygen
Not responding
Normal (saturation >92%)
0
2
saturation
Pale, dusky, blotchy (need oxygen to maintain saturation >90%)
Cyanotic (saturation <90% with oxygen)
Breathing
Circulation
Consciousness
Comment
ADM
15
30
45
TOTAL
*minimal Score of 12 would be required for proposed fast track criteria to determine whether outpatients can be transfered directly from the operating room to step down (Phase II) unit.
Discharge
Cormack Score Intubation
The cormack-lehane system classifies views obtained by direct laringoscopy based on the structure seen. It was
innitially described by R.S. Cormack and J. Lehane in 1984 as a way of simulating potential scenarios that
rainee anaesthetists might face. A modified version that subdivided Grade 2 was initially described in 1988.
Modified cormack-lehane classification
Grade
Description
Approximate
Likelihood of difficult
1
2a
2b
Full view of glottis
Partial view of glottis
Only posterior extremity of glottis seen or only
frequency
68%
24%
6,5%
<1%
4,3%
67,4%
3
4
aritenoid cartilages
Only epiglottis seen, none of glottis seen
Neither glottis nor epiglottis seen
1,2%
Very rare
87,5%
Very likely
The Mallampati
intubation