Aldrete Score Calculator

Assess patient readiness for discharge from post-anesthesia care unit (PACU)

Post-Anesthesia Assessment

1. Consciousness Level

2. Mobility

3. Breathing

4. Circulation (Blood Pressure)

5. Skin Color

Aldrete Score Results

0/10
Total Aldrete Score
Continued Monitoring Required
Patient needs continuous close observation in PACU
Consciousness:0/2 pts
Mobility:0/2 pts
Breathing:0/2 pts
Circulation:0/2 pts
Skin Color:0/2 pts
Total:0/10 pts

Clinical Interpretation:

⚠️ Score ≤8: Patient requires continued monitoring in PACU until score improves

Score Interpretation

Score 9-10
Ready for PACU discharge
Score ≤8
Requires continued monitoring

Recovery Phases

1

Phase 1 (Early Recovery)

Patient awakens, recovers airway reflexes, resumes motor activity

Aldrete Score recommended

2

Phase 2 (Late Recovery)

Increased mobility, oral intake, pain management, education

Ambulatory/day surgery

Assessment Tips

Assess consciousness with logical questions

Test limb movement on command

Observe respiratory effort and muscle use

Compare BP to pre-operative values

Check for cyanosis or color changes

Understanding the Aldrete Score

What is the Aldrete Score?

The Aldrete Score is a standardized assessment tool used in post-anesthesia care units (PACU) to evaluate patient recovery from anesthesia. It assesses five key parameters, each scored from 0-2 points, for a maximum total of 10 points.

Clinical Application

Healthcare providers use this score to determine when patients have recovered sufficiently to be safely discharged from the PACU. It helps standardize discharge decisions and ensures patient safety during the critical post-anesthesia period.

Assessment Parameters

Consciousness

Ability to respond to verbal stimuli and follow commands

Mobility

Voluntary movement of extremities on command

Breathing

Respiratory effort and adequacy of ventilation

Circulation

Blood pressure stability compared to baseline

Skin Color

Adequacy of oxygenation and perfusion

⚠️ Medical Disclaimer

This calculator is for educational and informational purposes only. The Aldrete Score should only be used by qualified healthcare professionals in appropriate clinical settings. It does not replace clinical judgment, comprehensive patient assessment, or institutional discharge protocols. Always follow your facility's policies and consult with supervising physicians when making discharge decisions. This tool should never be used by patients or non-medical personnel for self-assessment.

PACU Discharge Guidelines

✅ Safe for Discharge (Score 9-10)

  • • Patient fully awake and oriented
  • • Adequate respiratory function
  • • Stable vital signs
  • • Good motor function
  • • Normal skin color

⚠️ Monitor Closely (Score 6-8)

  • • Continue PACU monitoring
  • • Reassess in 15-30 minutes
  • • Address specific deficits
  • • Consider interventions
  • • Document improvements

🚨 Intensive Monitoring (Score ≤5)

  • • Immediate physician notification
  • • Continuous monitoring required
  • • Consider complications
  • • Assess need for interventions
  • • May require ICU transfer