Jorge Antonio Aldrete

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Jorge Antonio Aldrete (born February 28, 1937 in Mexico City ) is a Mexican anesthetist who developed the Post-Anesthetic Recovery Score (PAR-Score), a point system for the recovery room .

Live and act

Antonio Aldrete was born in Mexico City on February 28, 1937. First he studied at the University Center of Mexico . In 1960 he received his MD from the National Autonomous University of Mexico . He then completed a year of practice and a two-year assistantship in surgery in Denver and Charleston . Then he specialized in anesthesia. In 1963 he began a corresponding training at the Case Western Reserve University School of Medicine in Cleveland . Two years later he moved to Denver after receiving a scholarship from the University of Colorado School of Medicine . In Denver, Aldrete became part of Thomas E. Starzl's team who performed liver transplants for the first time. He was the first anesthetist to draw up a protocol for such an operation and accompanied the first 180 liver transplants on human patients.

In 1967 Aldrete received the Board Certification in Anesthesia and graduated from the University of Colorado with a Masters . There he then became an assistant professor , and from 1969 an associate professor . He was also the chief anesthetist at Denver's Veterans Affairs Hospital. Based on his experience in this activity, he began to develop a scoring system that could be used to assess the condition of patients after anesthesia. In 1970 Aldrete published his research results together with Diana Kroulik in the article A Postanesthetic Recovery Score in Anesthesia and Analgesia .

In May 1970, Aldrete moved to Miami , where he became associate professor at the University of Miami School of Medicine and medical director of the surgical intensive care unit at Jackson Memorial Hospital . From 1971 to 1975 he worked at the University of Louisville School of Medicine in Kentucky and as chief of anesthesia at Louisville General Hospital. He then returned to the University of Colorado School of Medicine as Chair of the Department of Anesthesia and worked again with the transplant team until they moved to Pittsburgh in 1980.

After a sabbatical in Sweden, Aldrete returned to the United States and accepted a professorship at the University of Alabama at Birmingham . There he carried out research on hemodilution in anesthesia, published a book and various articles in medical journals on the subject and organized an international hemodilution congress in Guadalajara in 1982 . Another area of ​​Aldrete's research was the emotional response of patients to surgery and anesthesia. In 1980 he published the book The Hidden Dimension: Emotional Responses and Psychological Responses to Anesthesia and Surgery with Frank Guerra .

After the earthquakes in Mexico in 1985 and San Salvador in 1986 , Aldrete led medical teams that supported the Red Cross in its work. Following sabbaticals at universities in the Netherlands and Argentina, Aldrete became head of anesthesia department at Cook County Hospital in Chicago in 1986 . Two years later, together with Alberto Torrieri, he developed the first one-piece needle for combined spinal and epidural anesthesia . In 1989 he opened a private pain management clinic in Florida . After 10 years of treating patients with arachnoiditis , an inflammation of the arachnoid gland associated with severe pain , Aldrete founded the non-profit Arachnoiditis Foundation, Inc.

Post-Anesthetic Recovery Score

The points scheme developed by Aldrete is used to assess whether a patient is allowed to leave the recovery room. It was adopted in 1981 by the Joint Commission on Accreditation of Healthcare Organizations as a requirement for health care companies and is used as standard in US clinics, but also in numerous other countries.

The PAR score has five components:

  1. Activity: Moves 0, 2 or 4 extremities.
  2. Breathing: Can breathe deeply and cough freely; Dyspnea or difficulty breathing or apnea.
  3. Circulation: blood pressure ± 20%; 20–50% or more of the preoperative level.
  4. Consciousness: Fully awakened; Can be awakened on call or not responsive.
  5. Color: pink; pale, dark, blotchy, yellowish, of a different color or cyanotic; later replaced by: pulse oximetry:> 92% for room air; > 90% with oxygen or below despite oxygen

0 points, 1 point or 2 points are awarded for the characteristics; the maximum possible number of points is 10.

The patient needs a score of at least 9 points to be released from the recovery room.

Publications (selection)

  • with Beverley A. Britt: The Second International Symposium on Malignant Hyperthermia. Grune & Stratton, New York 1978, ISBN 978-0-8089-1073-2 .
  • with Harry J. Lowe, Robert Wallace Virtue: Low flow and closed system anesthesia. Grune & Stratton, New York 1979, ISBN 978-0-8089-1176-0 .
  • with Frank Guerra: Emotional and psychological responses to anesthesia and surgery. Grune & Stratton, New York 1980, ISBN 978-0-8089-1195-1 .
  • with Theodore H. Stanley: Trends in intravenous anesthesia. Symposia Specialists, Miami 1980, ISBN 978-0-8151-0106-2 .
  • Arachnoiditis: the silent epidemic. Futuremed Publishers, Denver 2000, ISBN 978-968-7860-56-5 .

Web links

Individual evidence

  1. ↑ Aldrete JA, Kroulik D. A post-anesthetic recovery score. Anesth Analg. 1970 Nov-Dec; 49 (6): 924-34. PMID 5534693
  2. ↑ a b Curriculum Vitae ( Memento of the original from October 25, 2010 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF; 354 ​​kB) Website of the Arachnoiditis Foundation, Inc., accessed on May 26, 2012. @1@ 2Template: Webachiv / IABot / www.arachnoiditis.com
  3. ↑ a b c d Cynthia MacMartin Klobuchar: Jorge Antonio Aldrete, MD, MS Pioneering Anesthesiologist Continues To Shape His Field. Anesthesiology News, January 2005, Retrieved May 26, 2012.
  4. ↑ Aldrete YES. The post-anesthesia recovery score revisited. J Clin Anesth. 1995 Feb; 7 (1): 89-91. PMID 7772368
personal data
SURNAME Aldrete, Jorge Antonio
BRIEF DESCRIPTION Mexican anesthetist
DATE OF BIRTH February 28, 1937
PLACE OF BIRTH Mexico City , Mexico