A 27yo woman s/p hemorrhoidectomy under spinal anesthesia is standing
and walking, but has not yet urinated. She has tolerated ice chips,
but felt nauseous after drinking orange juice. Her pain is well controlled
with oral oxycodone. Your surgicenter closes at 5pm...it's now 4:45.
- Do you discharge her home?
- Should patients void prior
to discharge? What if it were a general anesthetic? How about
- What is the Modified Aldrete
References: (note, all residents should have access to Anesthesiology
articles online if they receive the journal. Many other journals are
available with a USF account through MD Consult...just access it from the
departmental home page)
- ASA Practice guidelines for postanesthesia
care (.pdf file)
- The Modified Aldrete Score. This is what we use
at TGH and HLM
Last updated 6/9/03
by Roy G. Soto, M.D.
2003, Roy G. Soto, M.D., and the University of South Florida College of Medicine,
Department of Anesthesiology