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 TIME ADM 15” 30” 45” 1’ 2’ 3’ 4’ Discharge

Activity Can move voluntary or on command :

4 extremities

2 extremities

0 extremities

2

1

0

Breathing Breathe deeply and cough

Dyspnea, hypoventilation

Apneu

2

1

0

Circulation BP 20 mmHg of baseline

BP 20-50 mmHg of baseline

BP >50mmHg of baseline

2

1

0

Consciousness Fully awake

Arousable on calling

Not responding

2

1

0

Color/Oxygen

saturation

Normal (saturation >92%)

Pale, dusky, blotchy (need oxygen to maintain saturation >90%)

Cyanotic (saturation <90% with oxygen)

2

1

0

Comment 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.

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 DescriptionApproximate

frequency

Likelihood of difficult

intubation

1 Full view of glottis 68% <1%

2a Partial view of glottis 24% 4,3%

2b Only posterior extremity of glottis seen or only aritenoid

cartilages

6,5% 67,4%

3 Only epiglottis seen, none of glottis seen 1,2% 87,5%

4 Neither glottis nor epiglottis seen Very rare Very likely

The Mallampati Classification