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Anesth Analg 1988; 67:53-56
© 1988 International Anesthesia Research Society
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Recovery Scores Do Not Correlate with Postoperative Hypoxemia in Children

Iris E. Soliman, MD, Ramesh I. Patel, MD, Marc B. Ehrenpreis, MD, and Raafat S. Hannallah, MD

Received from the Department of Anesthesiology, Child Health and Development, Children's Hospital National Medical Center and George Washington University, Washington, D.C.

Abstract

The correlation between the degree of postanesthetic recovery (PAR) in children as measured by a modified Aldrete scoring system and oxygen saturation (Sao2) wasstudied. Eighty-one ASA PS I unpremedicated infants and children were studied. Oxygen saturation and PAR scores were recorded on arrival in the recovery room, then at 5-minute-intervals. Patients with Sao2 > 95% were given supplemental oxygen. The proportion of children with Sao2 > 95% and ≥95% was not significantly differentamong patients with low PAR scores (≤6) and those with high scores (7–10) in any agegroup. Similarly, the magnitude of Sao, increase after oxygen supplementation did not seem to correlate with increasing wakefulness; i.e., higher PAR scores. It is concluded that children recovering from anesthesia can become hypoxemic in the recovery room. Thedegree of wakefulness as measured by a PAR score cannot be used to establish an end point for oxygen supplementation. Oxygen supplementution and/or Sao, monitoring are recommended in all children recovering from anesthesia.

Key Words: HYPOXIA—postoperative • ANESTHESIA—pediatric




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1988 by the International Anesthesia Research Society.