Ridgeon et al reported the Oxford Anaesthetic Complexity (OxAnCo) score for evaluating the complexity of anesthesia for a surgical case. It consists of a patient and a technical subscore. The authors are from Oxford University Hospitals NHS Trust and Royal Berkshire Hospital in England.
Parameters:
(1) anesthesia
(2) one lung or other advanced ventilation
(3) cardiac bypass
(4) invasive monitoring
(5) surgery
(6) expected blood loss
(7) emergency surgery
(8) location
(9) need for postoperaitve ICU or HDU
Parameter |
Finding |
Points |
anesthesia |
general anesthesia only |
1 |
|
neuraxial only |
1 |
|
general plus neuraxial |
2 |
|
general plus regional |
2 |
|
regional only |
2 |
|
sedation only |
1 |
advanced ventilation |
no |
1 |
|
yes |
4 |
cardiac bypass |
no |
1 |
|
yes |
5 |
invasive monitoring |
no |
1 |
|
yes |
2 |
surgery |
major |
3 |
|
intermediated |
2 |
|
minor |
1 |
expected blood loss |
< 500 mL |
1 |
|
>= 500 mL |
2 |
emergency surgery |
yes |
3 |
|
no (elective) |
1 |
location of surgery |
operating room |
1 |
|
outside operating room |
3 |
need for postop ICU |
no |
1 |
|
yes |
3 |
technical subscore =
= SUM(points for all of the parameters)
total score =
= SUM(patient and technical subscores)
Interpretation:
• minimum technical subscore: 9
• maximum technical subscore: 27
• minimum total score: 15
• maximum total score: 50
• The higher the total score the greater the overall complexity of the case.
Specialty: Anesthesiology, Surgery, general