Recovery after anesthesia can be assessed using the score of Robertson et al. This is slightly more complex than the recovery score of Steward (above)
Parameters used in score:
(1) consciousness
(2) airway
(3) activity
Assessment is performed at 1 minute intervals for the first 8 minutes and then at 10 minutes after the general anesthetic agent is discontinued.
|
Parameter |
Finding |
Points |
|
consciousness |
fully awake; eyes open; conversing |
4 |
|
|
lightly asleep; eyes open intermittently |
3 |
|
|
eyes open on command or in response to name |
2 |
|
|
responding to ear-pinching |
1 |
|
|
not responding |
0 |
|
airway |
opening mouth or coughing or both, on command |
3 |
|
|
no voluntary cough, but airway clear without support |
2 |
|
|
airway obstructed on neck flexion but clear without support on extension |
1 |
|
|
airway obstructing without support |
0 |
|
activity |
raising one arm on command |
2 |
|
|
non-purposeful movement |
1 |
|
|
not moving |
0 |
score =
= (points for consciousness) + (points for airway) + (points for activity)
Interpretation:
• minimum score: 0
• maximum score: 9, indicating fully awake
Specialty: Anesthesiology
