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
2 extremities 1
0 extremities 0
Breathing Breathe deeply and cough 2
Dyspnea, hypoventilation 1
Apneu 0
Circulation BP 20 mmHg of baseline 2
BP 20-50 mmHg of baseline 1
BP >50mmHg of baseline 0
Consciousness Fully awake 2
Arousable on calling 1
Not responding 0
Color/Oxygen Normal (saturation >92%) 2
saturation Pale, dusky, blotchy (need oxygen to maintain saturation >90%) 1
Cyanotic (saturation <90% with oxygen) 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

Approximate Likelihood of difficult
Grade Description
frequency 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 6,5% 67,4%
aritenoid cartilages
3 Only epiglottis seen, none of glottis seen 1,2% 87,5%
4 Neither glottis nor epiglottis seen Very rare Very likely

The Mallampati