Table 1.
Anesthetic plane | Clinical score | Pupil position/size | Eye reflex (P, palpebral; C, corneal) | Heart rate/blood pressure/(spontaneous respiration) |
---|---|---|---|---|
Too light | 4 | Central/large or small | P: active; C: active | Normal or elevated/breathing against ventilator; occasional swallowing |
Medium | 3 | Ventromedial/small or medium | P: depressed; C: mildly depressed | Normal or minimally depressed |
Medium–deep | 2 | Central/medium | P: depressed; C: depressed | Minimally to moderately depressed |
Too deep | 1 | Central/large | P: absent; C: markedly depressed | Markedly depressed |
A mean arterial pressure (MAP) >90 mmHg was presumed as “elevated,” a MAP ≤90 and ≥70 mmHg as “normal,” a MAP <70 and ≥65 mmHg as “minimally depressed,” a MAP <65 and >60 mmHg as “moderately depressed,” and a MAP ≤60 mmHg as “markedly depressed”.
A heart rate (HR) >45 beats per minute (bpm) was supposed to be elevated, a HR between 30 and 45 bpm was thought to be normal, and a HR <30 bpm was thought to be depressed.