Supplemental Interscalene Blockade to General Anesthesia for Shoulder Arthroscopy: Effects on Fast Track Capability, Analgesic Quality, and Lung Function
Table 5
Fast track criteria (according to White and Song).
Criteria
Score
Level of consciousness
Awake and oriented
2
Arousable with minimal stimulation
1
Responsive only to tactile stimulation
0
Physical activity
Able to move all extremities on command
2
Some weakness in movement on extremities
1
Unable to voluntarily move extremities
0
Hemodynamic stability
Blood pressure <15% of baseline MAP value
2
Blood pressure 15–30% of baseline MAP value
1
Blood pressure >30% below baseline MAP value
0
Respiratory stability
Able to breathe deeply
2
Tachypnea with good cough
1
Dyspneic with weak cough
0
Oxygen saturation status
Maintains value >90% on room air
2
Requires supplemental oxygen
1
Saturation <90% with supplemental oxygen
0
Postoperative pain assessment
None or mild discomfort
2
Moderate to severe pain controlled with IV analgesics
1
Persistent severe pain
0
Postoperative emetic symptoms
None or mild nausea with no active vomiting
2
Transient vomiting or retching
1
Persistent moderate to severe nausea or vomiting
0
Total score
14
Score criteria according to White and Song, eligibility for PACU discharge is a minimum score of ≥12 points. MAP: mean arterial pressure.