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Score for Airway Hyperreactivity Associated with Anesthesia

Purpose: To evaluate airway hyperresponsiveness of a patient associated with intubation and anesthesia.

Description

Pappas et al developed a score evaluating airway hyperreactivity associated with intubation and anesthesia. They developed it for evaluating hyperreactivity associated with removal of the Laryngeal Mask Airway (LMA). The authors are from Loyola University Medical Center in Illinois.


Parameters:

(1) cough and/or bucking retraction

(2) breath holding

(3) oxygen desaturation

 

Parameter

Finding

Points

cough and/or bucking retraction

none

0

 

occasional

1

 

frequent

2

 

continuous

3

 

laryngospasm, partial

4

 

laryngospasm, complete

4

breath holding

none

0

 

< 14 seconds

1

 

15 – 30 seconds

2

 

> 30 seconds

3

 

positive pressure ventilation required

4

oxygen desaturation (via pulse oximetry)

none; oxygen saturation >= 98%

0

 

94 – 97%

1

 

90 – 94% for > 10 seconds

2

 

85 - 90% for > 10 seconds

3

 

< 85% for > 10 seconds

4

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 12

• The higher the score, the more severe the airway hyperreactivity.

 

Total Score

Interpretation

0

none

1 – 3

mild

4 – 8

moderate

9 - 12

severe

 


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Specialty

Objective

ICD-10