Asbury A J
Can Anaesth Soc J. 1981 Nov;28(6):567-74. doi: 10.1007/BF03007154.
The study describes the design and testing of a scoring system to measure immediate recovery from anaesthesia. The scoring system which measures the patient's cognitive, motor haemodynamic and respiratory recovery, was applied in 1,626 patients. The score was measured at five minutes intervals and the results were plotted on recovery graphs for each patient. The analysis shows that patients who had received automatic ventilation during their anaesthetic were likely to arrive in the recovery room with a score of 14 or 15 (the top score), while other patients were likely to arrive with lower scores and progressed in their recovery at 0.9 (SD 0.6) score units per minute. Multivariate analysis confirms that the anaesthetist's decision to employ automatic or spontaneous ventilation is the most important single factor in determining the rate of increase of the recovery score. It is suggested that this scoring system, which fits well with the clinical appreciation of the case, is a useful tool in the hands of the recovery nurse.
该研究描述了一种用于衡量麻醉后即时恢复情况的评分系统的设计与测试。该评分系统用于评估患者的认知、运动、血流动力学和呼吸恢复情况，已应用于1626例患者。每隔五分钟测量一次分数，并将结果绘制在每位患者的恢复图表上。分析表明，在麻醉期间接受自动通气的患者进入恢复室时的分数可能为14或15（最高分），而其他患者进入恢复室时的分数可能较低，且恢复过程中每分钟以0.9（标准差0.6）个分数单位的速度进展。多变量分析证实，麻醉师决定采用自动通气还是自主通气是决定恢复分数增加速率的最重要单一因素。建议这种与临床对病例的判断非常契合的评分系统，在恢复室护士手中是一种有用的工具。
