Modified Aldrete score (post-anesthesia recovery)
Readiness for discharge from the post-anesthesia care unit.
Inputs
CompleteActivity
Respiration
Circulation (BP vs. preanesthetic)
Consciousness
Oxygen saturation
Worked calculation
Your values are highlighted.
- Points
Activity +2, Respiration +2, Circulation (BP vs. preanesthetic) +2, Consciousness +2, Oxygen saturation +2= 10
When to use
- Phase I recovery after anesthesia or sedation.
Pearls and pitfalls
- 9 or higher usually meets discharge criteria from phase I.
Why use
Standard PACU scoring.
| Criterion | Points |
|---|---|
| Activity: Unable to move extremities | 0 |
| Moves 2 extremities | +1 |
| Moves 4 extremities | +2 |
| Respiration: Apneic | 0 |
| Dyspnea or limited breathing | +1 |
| Breathes deeply and coughs freely | +2 |
| Circulation (BP vs. preanesthetic): Differs by more than 50% | 0 |
| Within 20–50% | +1 |
| Within 20% | +2 |
| Consciousness: Not responding | 0 |
| Arousable on calling | +1 |
| Fully awake | +2 |
| Oxygen saturation: Below 90% even with oxygen | 0 |
| Needs oxygen to keep above 90% | +1 |
| Above 92% on room air | +2 |