Aldrete Score

Pain, nausea/vomiting, temperature, bleeding, and surgical-site issues are not directly assessed by the 5-item score; evaluate them separately and escalate monitoring or level of care as indicated.

Thresholds may vary by institution; refer to your local protocols.

Inpatient surgery:

• Score ≥9 and clinically stable: Transition to Phase II or an inpatient unit per facility protocol.
• Score <9 (or any category with a score of 0): 
  
  • Identify the cause (e.g., hypoxia, hypotension, somnolence, inadequate motor function).
  • Intervene: airway support, titrate O₂, treat hypoventilation (stimulate, reverse agents if indicated), fluid/vasoactive therapy for hypotension, manage pain/antiemetics.
  • Continue PACU-level monitoring and reassess at intervals until criteria met; escalate to anesthesia if deficits persist.

Ambulatory/same-day surgery:

• If the patient does not meet fast-tracking criteria (per local protocol):

  • Proceed with Phase I recovery in PACU.

  • Transition to Phase II when MAS ≥9 and clinically stable (similar to above guidance for inpatient surgery).

• Once PARSAP ≥18 in Phase II: 

  • Appropriate for discharge home.

  • Ensure pain control, minimal nausea and vomiting, and safe ambulation.

  • A responsible escort should be available.

  • Provide clear postoperative instructions.