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Modified Aldrete Scoring System

Movement
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Movement
Able to move four limbs voluntarily or on command, muscle strength grade 4
Able to move two limbs voluntarily or on command, muscle strength grade 2
Unable to move limbs voluntarily or on command, muscle strength grade 0
Respiration
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Respiration
Able to take deep breaths and cough freely
Dyspnea or limited breathing
No breathing
Circulation
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Circulation
Blood pressure fluctuation within ±20%
Blood pressure fluctuation within ±20%～49%
Blood pressure fluctuation over ±50%
Consciousness
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Consciousness
Fully awake
Drowsy but can be awakened
No response to stimuli
Oxygen Saturation
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Oxygen Saturation
SpO2＞92% on room air
Needs oxygen inhalation to maintain SpO2＞90%
SpO2＜90% even with oxygen inhalation
Score:

Result Interpretation

The first stage of anesthesia recovery: from the cessation of anesthetic drugs to the recovery of protective reflexes and motor functions. This stage usually takes place in the PACU, monitoring the patient's consciousness, activity, respiration, ECG, blood pressure, oxygenation status, etc., until the modified Aldrete score is above 9, allowing the patient to leave the PACU.

References

Research Paper Chinese Society of Anesthesiology, Chinese Medical Association. Expert Consensus on Day Surgery Anesthesia. 2016-10
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