The postanesthesia care unit

1. The Postanesthesia Care Unit Jessica Lovich-Sapola MD

10. Aldrete Score 0: Spo2 <92% with O2 supplementation 0: Not responding 0: BP + 50 mm of preanestheic level 0 : Apneic 0: Unable to move extremities 1: Supplemental O2 required to maintain Spo2 >90% 1: Arousable on calling 1: BP + 20-50 mm of preanesthetic level 1: Dyspneic, shallow or limited breathing 1: Moves 2 extremities 2: Spo2 > 92% on room air 2:Fully awake 2: BP + 20 mm of preanesthetic level 2:Breaths deeply and coughs freely . 2: Moves all extremities voluntarily/ on command Oxygen Saturation Consciousness Circulation Respiration Activity

11. Postanesthesia Discharge Scoring System 0: Severe: more than 3 dressing changes 0: Continues: repeated treatment 0: Unable to ambulate 0: >40% of preoperative baseline 1: Moderate: up to 2 dressing changes 1: Not acceptable to the patient; not controlled with PO medications 1: Moderate: treat with IM medications 1: Requires assistance 1: 20-40% of preoperative baseline 2: Minimal: no dressing changes required 2: Acceptable control per the patient; controlled with PO meds 2: Minimal: treat with PO meds 2: Steady gait, no dizziness 2: Within 20% of preoperative baseline Surgical Bleeding Pain Nausea and Vomiting Activity Vital Signs (BP and Pulse)