Expanded Postanesthetic Recovery Score for Patients Having Anesthesia on Ambulatory Basis (PARSAP)

Assessment tool for determining readiness for discharge home after ambulatory anesthesia.

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

Mild pain controlled with oral medication+1

No pain+2

Ambulation*

Dizzy even when lying down0

Vertigo when standing+1

Able to stand and walk normally+2

Oral intake tolerance*

Nausea with vomiting0

Nauseated but no vomiting+1

Able to tolerate fluids+2

Urination*

Unable to void and uncomfortable0

Unable to void but comfortable+1

Has passed urine+2