Clinical Study

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).

CriteriaScore

Level of consciousnessAwake and oriented2
Arousable with minimal stimulation1
Responsive only to tactile stimulation0

Physical activityAble to move all extremities on command2
Some weakness in movement on extremities1
Unable to voluntarily move extremities0

Hemodynamic stabilityBlood pressure <15% of baseline MAP value2
Blood pressure 15–30% of baseline MAP value1
Blood pressure >30% below baseline MAP value0

Respiratory stabilityAble to breathe deeply2
Tachypnea with good cough1
Dyspneic with weak cough0

Oxygen saturation statusMaintains value >90% on room air2
Requires supplemental oxygen1
Saturation <90% with supplemental oxygen0

Postoperative pain assessmentNone or mild discomfort2
Moderate to severe pain controlled with IV analgesics1
Persistent severe pain0

Postoperative emetic symptomsNone or mild nausea with no active vomiting2
Transient vomiting or retching1
Persistent moderate to severe nausea or vomiting0

Total score14

Score criteria according to White and Song, eligibility for PACU discharge is a minimum score of ≥12 points. MAP: mean arterial pressure.