IRCT20210222050463N1 IRCT 2021-03-06 Ahvaz University of Medical Sciences A guidance system in the post-anesthesia care unit Evaluating the Impact of a Scoring System and Anesthesia Guide on Early Diagnosis and Intervention in the Post Anesthesia Care Unit 2021-03-20 anticipated 50 Complete https://irct.ir/trial/54553 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Diagnostic, Randomization description: The randomization of the patients was performed during the preoperative period. The patients were requested to draw one of the two sealed envelopes; one denoting the study group and the other denoting the control group. To achieve equal distribution of the patients to the groups, Simple individual randomization was performed after the total number of patients who would undergo the operation at the same day was determined. If the total number of patients was 6 on a certain day and 3 of them drew the study group envelope, the rest of the patients were just allocated to the control group without drawing envelopes. N/A Cardiopulmonary complications. Intervention 1: Intervention group: Patients in the study group receive the necessary interventions as indicated in the anesthesiologist's guide. If the score is EWSS≤4, the patient is monitored every 10 minutes. If the patient's EWSS score is 5, the patient is monitored every 5 minutes. If the patient's score does not change, monitoring is continued every 5 minutes. However, if the patient's score drops to ≤4, monitoring is performed every 10 minutes. If the score increases, the follow-up will continue for 5 minutes and the emergency team will be called to evaluate the patient. Intervention 2: Control group: All patients are scored according to EWSS during the PACU period. Patients in the control group do not receive any intervention as directed by the anesthesiologist, even if they have a high score. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is A decision will be made after the study.