Aldrete scoring system is used for discharge from the PACU. A patient scores 2 for Activity, 2 for Respiration, 2 for Circulation, 1 for Consciousness (responds to name but drowsy), and 2 for SpO2. What is the Aldrete score, and can the patient be discharged?
- A Score 8 out of 10; patient cannot be discharged (threshold is 9)
- B Score 8 out of 10; patient can be discharged as all vital parameters are normal
- C Score 9 out of 10; patient can be discharged from PACU ✓
- D Score 7 out of 10; patient requires continued monitoring for at least 2 more hours
Correct answer: C. Score 9 out of 10; patient can be discharged from PACU
Explanation
The modified Aldrete score has 5 parameters each scored 0–2: Activity (2), Respiration (2), Circulation (2), Consciousness (1), SpO2 (2) = total 9/10. The threshold for PACU discharge is ≥9 out of 10. A score of 9 achieved here means the patient meets criteria for discharge from PACU to the ward. A score of 8 (e.g., consciousness only 0) would require continued observation. Consciousness scoring: 2 = fully awake, 1 = arousable, 0 = not responsive. The patient scoring 1 for consciousness (arousable to name) contributes to a total of 9.
Reference: Morgan & Mikhail's Clinical Anesthesiology, 6th ed.
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