Table I .
Classification of patient alertness during the operation (modified from Chernik et al., 1990).
| Score | Responsiveness | Speech | Facial expression | Eyes |
|---|---|---|---|---|
| 5 (alert) | Responds readily to voice with normal tone | Normal | Normal | Clear, no ptosis |
| 4 | Responds slowly to voice with normal tone | Mild slowing | Mild relaxation | Mild ptosis (less than half the eye) |
| 3 | Responds after calling loudly or repeatedly | Prominent slowing or slurring | Marked relaxation (slack jaw) | Marked ptosis (half the eye or more) |
| 2 | Responds after mild prodding or shaking | Few recognizable words | - | - |
| 1 | Does not respond to mild prodding or shaking | - | - | - |
| 0 | Does not respond to pain | - | - | - |