Table 3.

Description of Efficacy Safety Score (ESS) as revised after pilot-study and Delphi-process

Mental status	Score
Awake and alert patient	0
Awake patient, but influenced by drugs. Difficulties in communication.	5
Acutely confused, upset/uneasy, hallucinated or euphoric patient	10
Unresponsive patient	15*
Postoperative nausea and vomiting (PONV) status
No postoperative nausea or vomiting	0
Postoperative nausea only	5
Postoperative nausea and vomiting/retching	10
Pain status at rest
No postoperative pain	0
Low intensity postoperative pain (VNRS 1–3)	1–3
Moderate intensity postoperative pain (VNRS 4–6)	4–6
Severe intensity postoperative pain (VNRS 7–10)	7–10
Pain status during movement
No postoperative pain	0
Low intensity postoperative pain (VNRS 1–3)	1–3
Moderate intensity postoperative pain (VNRS 4–6)	4–6
Severe intensity postoperative pain (VNRS 7–10)	7–10
General condition status
No remarks	0
Minor discomfort (e.g. light-headedness, minor itching, blurred vision, decreased urination etc.)	5
Excessive discomfort (e.g. severe dizziness, itching, restlessness, urine retention, sensation of cold/warmth, cold sweating)	10
Acute circulatory abnormalities (blood pressure ≤80 or ≥200 mmHg, heart rate ≤40 or > 110)	15*
Acute respiratory abnormalities (dyspnoea, respiration rate < 9 or >20/min, long pauses in breathing, shallow breathing)	15*

^*Any single score of 15 (on either consciousness, circulation or respiration) should call for IMMEDIATE activation of acute assistance with the patient