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This system is designed to assess the patients transition from phase I recovery to Phase II recovery, from discontinuation of anesthesia until return of protective reflexes and motor function. Respiration 2= Able to take deep breath and cough 1= Dyspnea/shallow breathing 0= Apnea O2 Saturation 2= Maintains >92% on room air 1= Needs O2 inhalation to maintain O2 saturation >90% 0= Saturation < 90% even with supplemental oxygen Consciousness 2= Fully awake 1= Arousable on calling 0= Not responding Circulation 2= BP+ 20mm HG pre op 1= BP+ 20- 50 mm HG pre op 0= BP+ 50mm HG pre op Activity 2= Able to move 4 extremities 1= Able to move 2 extremities 0= Able to move 0 extremities The total score is 10. Patients scoring > 8 (and/or are returned to similar pre op status) are considered fit for transition to Phase II recovery

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