Table 2

Richmond Agitation-Sedation Scale

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 nonpurposeful movement or patient ventilator dyssynchrony

+1

Restless

Anxious or apprehensive but movements not aggressive or vigorous

0

Alert and calm

-1

Drowsy

Not fully alert, but has sustained (>10 seconds) awakenings, with eye contact, to voice

-2

Light sedation

Briefly (<10 seconds) awakens with eye contact to voice

-3

Moderate sedation

Any movement (but no eye contact) to voice

-4

Deep sedation

No response to voice, but any movement to physical stimuli

-5

Unarousable

No response to voice or physical stimulation


de Wit et al. BMC Anesthesiology 2007 7:3   doi:10.1186/1471-2253-7-3

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