Fast-Track Discharge of Outpatients Following Ambulatory Surgery

Parameter

Finding

Points

level of consciousness

responsive only to tactile stimulation

0

arousable with minimal stimulation

1

awake and oriented

2

physical activity

unable to voluntarily move extremities

0

some weakness in movement of extremities

1

able to move all extremities on command

2

hemodynamic stability

blood pressure +/- 50% of baseline

0

blood pressure +/- 30% of baseline

1

blood pressure +/- 15% of baseline

2

respiratory stability

dyspneic with weak cough

0

tachypnea with good cough

1

respiratory rate 10-20 breaths per minute, and able to breath deeply

2

oxygen saturation status

< 90% with supplemental oxygen

0

requires supplemental oxygen to maintain saturation > 90%

1

maintains > 90% while breathing room air

2

postoperative pain assessment

persistent moderate-to-severe pain

0

moderate-to-severe pain controlled with intravenous analgesics

1

no or mild discomfort

2

postoperative emetic symptoms

persistent moderate-to-severe nausea and vomiting

0

transient vomiting or retching controlled with intravenous antiemetics

1

no or mild nausea with no active vomiting

2