Expanded Postanesthetic Recovery Score for Patients Having Anesthesia on Ambulatory Basis (PARSAP)
Assessment tool for determining readiness for discharge home after ambulatory anesthesia.
INSTRUCTIONS
The Expanded Postanesthetic Recovery Score for Patients Having Anesthesia on Ambulatory Basis (PARSAP) is used specifically to determine discharge readiness from Phase II recovery (or from the PACU to home) in outpatient or same-day surgery settings.
Activity*
Unable to move extremities voluntarily or on command0
Able to move two extremities voluntarily or on command+1
Able to move four extremities voluntarily or on command+2
Respiratory status*
No spontaneous breathing (apneic)0
Limited breathing or shortness of breath+1
Breathing deeply and able to cough effectively+2
Circulation (relative to baseline)*
Blood pressure differs by ≥50% from preoperative baseline0
Blood pressure differs by 20–49% from baseline+1
Blood pressure within 20% of baseline+2
Level of consciousness*
No response to verbal stimuli0
Responds when called+1
Fully alert and oriented+2
O₂ saturation*
O₂ saturation <90% despite supplemental oxygen0
Requires oxygen to maintain saturation >90%+1
Maintains saturation >92% on room air+2
Surgical site dressing*
Increasing or spreading drainage0
Some drainage but stable (not worsening)+1
Clean and dry+2
Pain control*
Severe pain requiring IV or parenteral medication0
