Table 4 The description of Richmond Agitation-Sedation Scales (RASS)
Score | Term | Description |
|---|---|---|
+ 4 | Combative | Overtly combative or violent; immediate danger to staff |
+ 3 | Very agitated | Pulls on or removes tube(s) or catheter(s) or has aggressive behavior toward staff |
+ 2 | Agitated | Frequent non-purposeful movement or patient-ventillator dyssynchrony |
+ 1 | Restless | Anxious or apprehensive, but movements not aggressive or vigorous |
0 | Alert and calm | |
-1 | Drowsy | Not fully alert, but has sustained awakening, with eye contact, to voice |
-2 | Light sedation | Briefly awakens with eye contact to voice |
-3 | Moderate sedation | Sedation any movement to voice |
-4 | Deep sedation | No response to voice, but any movement to physical stimulation |
-5 | Unarousable | No response to voice or physical stimulation |