Postanesthetic Scoring System of Notre Dame Hospital

Organ System

Finding

Points

Circulatory

blood pressure stable; pulse always < 100

0

blood pressure change less than 30%; pulse 100 - 120

1

vasopressors or digitalis therapy

2

blood pressure < 100 despite treatment

3

decompensated

4

severe shock

5

Respiratory

rate under 15; breath holding more than 25 seconds

0

rate 15 - 20; productive cough

1

rate over 20; rales or temperature up to 100°F

2

temperature over 100 °F, partial atelectasis

3

major atelectasis

4

pneumonia

5

CNS

amnesic, satisfied

0

confused or recalls induction

1

dissatisfied with anesthesia for any reason

2

extrapyramidal signs

3

major neurological complications

4

coma

5

Gastrointestinal

nothing

0

no more than 3 episodes of nausea

1

nausea, vomited once only

2

vomiting

3

ileus

4

evisceration or perforation

5

Renal

voids over 800 mL

0

over 800 mL per catheter

1

voids 500 - 800 mL

2

500 - 800 mL per catheter

3

under 500 mL

4

anuria

5