A post-anesthetic discharge scoring system for home readiness after ambulatory surgery

Propofol/remifentanil vs sevoflurane/remifentanil for long lasting surgical procedures: a randomised controlled trial

“…Time from discontinuation of anaesthesia to extubation ('extubation time'), vital signs and BIS values were recorded. After extubation the patient was transferred to the postanaesthesia care unit, where standard monitoring was recorded every 10 min, along with the Observer Assessment of Alertness and Sedation (OAAS) Scale [12], Post-anaesthesia Discharge Scoring System (PADSS) [13], modified Aldrete score [14] and Ramsay score [15]. The Trieger Dot and the Digit Symbol Substitution Tests were performed every 20 min.…”

Retrospective analysis of deep sedation in pediatric population for endoscopic procedures: adverse events and outcomes

“…In particular, patients may be well saturated with oxygen and still experience significant CO2 retention. Capnography has emerged as a noninvasive way of measuring patient ventilation that may be especially useful in patients undergoing deeper levels of sedation (11)(12)(13)(14). Malviya et al (7) picked up desaturation in 5.5% of patients and achieved a reduction in bad outcomes.…”

“…The ASA guidelines recommend that patients should not consume fluids or solid foods for a sufficient period of time so as to permit adequate gastric empting (11,12). In our clinic; patients were prevented from taking clear fluid, breast milk, light meal or heavy meal orally for 2, 4, 6 to 8 hours (respectively).…”

Frequency and implications of ambulatory surgery without a patient escort

“…3,4 Early recovery occurs when a patient emerges from anesthesia; intermediate recovery occurs when a patient has satisfied criteria for discharge; and late recovery occurs when the patient has returned to their preoperative physiological state. Following surgery, patients are discharged home when they have satisfied discharge criteria, 5,6 but not necessarily back to their preoperative physiological state.…”