Deshmukh Prachi P, Chakole Vivek
Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Oct 6;16(10):e70935. doi: 10.7759/cureus.70935. eCollection 2024 Oct.
Post-anesthesia recovery is a vital phase in the perioperative continuum, where the quality of care and monitoring heavily influence patient outcomes. This comprehensive review examines the Sampe, Modified Aldrete, and White Scoring Systems, pivotal in evaluating patients' readiness for discharge from the Post-Anesthesia Care Unit (PACU). The review delves into the historical evolution of post-anesthesia care, highlighting the transition from minimal post-operative support to the establishment of PACUs and the subsequent development of structured recovery scoring systems. Each scoring system is analyzed in detail, focusing on its components, criteria, scoring methodology, advantages, and limitations. A comparative analysis underscores these systems' similarities and differences, sensitivity, specificity, and practical applications in clinical settings. Additionally, the review discusses the clinical implications of these scoring systems in enhancing patient management, improving safety, and ensuring standardized care. Emerging technologies and future directions in recovery assessment are also explored, providing insights into potential innovations. This review aims to equip healthcare professionals with a deeper understanding of these scoring systems, facilitating informed decisions to optimize post-anesthesia care and patient outcomes.
麻醉后恢复是围手术期连续过程中的一个重要阶段,在此阶段,护理质量和监测对患者的预后有着重大影响。本综述全面审视了Sampe评分系统、改良Aldrete评分系统和White评分系统,这些评分系统对于评估患者从麻醉后护理单元(PACU)出院的准备情况至关重要。该综述深入探讨了麻醉后护理的历史演变,突出了从术后最低限度支持到设立PACU以及随后结构化恢复评分系统的发展过程。对每个评分系统进行了详细分析,重点关注其组成部分、标准、评分方法、优点和局限性。比较分析强调了这些系统在临床环境中的异同、敏感性、特异性和实际应用。此外,该综述还讨论了这些评分系统在加强患者管理、提高安全性和确保标准化护理方面的临床意义。还探讨了恢复评估中的新兴技术和未来方向,为潜在创新提供了见解。本综述旨在使医疗保健专业人员更深入地了解这些评分系统,促进做出明智决策,以优化麻醉后护理和患者预后。