Modifications to the postanesthesia score for use in ambulatory surgery.

Modifications to the postanesthesia score for use in ambulatory surgery.
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DOI:
10.1016/s1089-9472(98)80044-0
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发表时间:
1998-06-01
期刊:
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
影响因子:
--
通讯作者:
Aldrete, J A
Aldrete, J A
中科院分区:
其他
文献类型:
--
作者:
Aldrete, J A

文献摘要

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Aldrete评分经受住了过去三十年来麻醉和手术护理的变化。然而,必须(1)进行修改,以纳入呼吸和血液动力学功能的最有效监测,例如,脉搏血氧测定法;(2)将原有的五项指标进行扩展,增加了五项指标,包括穿衣、疼痛、排便、禁食/进食和尿量,以评价门诊手术和麻醉患者。使用0、1或2级的10个指数,当患者达到18或更高的麻醉后恢复评分时,患者从麻醉和手术中的恢复将提供街头健身和出院回家的标准。
The Aldrete Score has withstood the changes in anesthesia and surgical care that have developed in the past three decades. Nevertheless, it is imperative that (1) a modification is made to incorporate the most effective monitor of the respiratory and hemodynamic functions, e.g., pulse oximetry; and (2) the five indices previously used be expanded by incorporating five more indices including dressing, pain, ambulation, fasting/feeding, and urine output to evaluate patients undergoing ambulatory surgery and anesthesia. A patient's recovery from anesthesia and surgery, using 10 indices graded 0, 1, or 2, would provide criteria for street fitness and discharge to home when the patient reaches a postanesthesia recovery score of 18 or higher.