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