A commonly used postanesthesia care unit (PACU) discharge criteria score

Postanesthetic discharge scoring system

Vital signs

2 = BP + pulse within 20% preop baseline

1 = BP + pulse within 20-40% preop baseline

0 = BP + pulse >40% preop baseline

Activity

2 = Steady gait, no dizziness, or meets preop level

1 = Requires assistance

0 = Unable to ambulate

Nausea and vomiting

2 = Minimal/treated with PO medication

1 = Moderate/treated with parenteral medication

0 = Severe/continues despite treatment

Pain

Controlled with oral analgesics and acceptable to patient:

2 = Yes

1 = No

Surgical bleeding

2 = Minimal/no dressing changes

1 = Moderate/up to two dressing changes required

0 = Severe/more than three dressing changes required

Score ≥9 for discharge

BP: blood pressure; PO: oral.

Modified with permission from: Fowler MA, Spiess BD. Postanesthesia recovery. In: Clinical Anesthesia, 7th ed, Barash PG, Cullen BF, Stoelting RK, et al (Eds), Lippincott Williams & Wilkins, Philadelphia 2013. Copyright © 2013 Lippincott Williams & Wilkins. www.lww.com.

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A commonly used postanesthesia care unit (PACU) discharge criteria score