Richmond Agitation-Sedation Scale
August 20th, 2017
Overview
A scale used to assess level of sedation, mainly in ICU patients.
Interpretation
- +4Combative: violent, immediate danger to staff
- +3Very agitated: pulling or removing tubes; aggressive
- +2Agitated: Frequent non-purposeful movements; fights ventilator
- +1Restless: anxious without aggressive or vigorous movement
- 0Alert and calm
- -1Drowsy: Not alert, but sustained eye contact to voice (>10 seconds)
- -2Light sedation: briefly awakens with eye contact to voice (<10 seconds)
- -3Moderate sedation: movement or eye opening to voice with no eye contact
- -4Deep sedation: no response to voice, movement or eye opening to physical stimulation
- -5Unrousable: no response to voice or physical stimulation
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