Table 3 Negative scoring system: Parameters were divided into major and minor scores
major | minor | ||
|---|---|---|---|
Respiration | Reaction to injection of the combination | ||
0 | Normal breathing | 0 | No reaction |
1 | Nose stimulus necessary | 1 | Whining or slight moving |
2 | Several (nose) stimuli necessary | 2 | Loud whining +/- strong moving |
3 | Intubation necessary | Reaction to catheter placement | |
Signs of onset of sedation | 0 | No reaction | |
0 | No abnormalities | 1 | Looking |
1 | Muscle twitching, stiffness, | 2 | Whining or moving |
salivating | Delay of onset of sedation | ||
2 | Major disorientation, gagging, | 0 | Start 20 min after injection |
loud whining | 1 | Five-minute delay | |
Reaction to positioning on the table | |||
Need for propofol | 0 | No reaction | |
0 | No need or 1st need after 40 min | 1 | Slight moving with the head |
1 | First need between 21–40 min | 2 | Moving with head and limbs |
2 | First need between 1–20 min | Reaction atipamezole injection | |
3 | First need at positioning | 0 | No reaction |
Cardiovascular | 1 | Looking, twitching, whining | |
0 | No severe changes | 2 | Loud whining or moving |
1 | MAP < 60 | Time to sternal position after atipamezole injection | |
1 | HR < 50 (0-10 kg) | 0 | Within 0–10 min |
1 | HR < 40 (> 10 kg) | 1 | Within 11–20 min |
2 | Severe changes, drugs necessary | 2 | Within 21–30 min |
Recovery | 3 | After 30 min | |
0 | Uneventful | Time to standing position after atipamezole injection | |
1 | Little whining, slight disorientation | 0 | Within 0–30 min |
2 | Loud (continuing) whining | 1 | Within 31–60 min |
3 | Major disorientation, panicking | 2 | Within 61–90 min |
3 | After 90 min | ||