Purpose: To estimate a patient's anesthetic risk using a modification of the score described by Peter and Lutz.
Citations with documentation. 31.01.03
Medal Project 2002. See disclaimer.
conversion
enter
body weight in pounds
lbs equals
81.8
kilograms
potassium in mEq/L
mEq/L equal
s
mmol/L
hemoglobin in g/L
g/L equals
0
g/dL
data
enter
Are you evaluating the anesthetic risk for a patient undergoing surgery? (Y or N)
:-):-):-)
age of the patient in years
years
0
weight in kilograms
kilograms
0
ideal weight for the patient in kilograms
kilograms
preoperative fasting period in hours
hours
1
serum potassium in mmol/L
mmol/L
0
Is the patient dehydrated? (Y or N)
:-):-):-)
0
hemoglobin in g/dL
g/dL
1
Does the patient have any relevant allergies? (Yor N)
:-):-):-)
0
Does the patient have any other serious disease? (Y or N)
:-):-):-)
0
expected operation time in minutes
minutes
0
percent body surface area with second or third degree burns (enter from 0 to 100, with 0 if none)
percent BSA
0
Is inhalation burn injury present? (Y or N)
:-):-):-)
enter an "x" in the appropriate column for each finding (give only 1 answer per row)
healthy
ambulant
emergency
patient status
Yes
2
scheduled
urgent
immediate
timing for procedure
Yes
2
conscious
drowsy
comatose
consciousness
Yes
2
stable
labile hypertension
fixed hypertension
hypotension
compensated shock
uncompensa-ted shock
blood pressure
Yes
2
normal
compensated CHF
decreased function
MI within last 2 months
heart failure
decompensated heart failure
heart
Yes
1
normal
irregular rhythm
tachycardia
arrhythmias
PVCs
complete AV block
pulse
Yes
0
normal
dyspnea
bronchitis
pneumonia
respiratory failure
respiratory
Yes
2
normal
renal failure
anuria or uremia
renal function
Yes
0
none
without failure
liver failure
hepatic coma
liver disease
Yes
0
none
controlled
uncontrolled
diabetes
Yes
1
calculate
result
data complete?
Yes
evaluation appropriate?
Yes
:-):-):-)
risk score
14
risk group
Group IV
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