Richmond Agitation Sedation Scale
+4: Combative.
Overtly combative or violent; immediate danger to staff.
+3: Very agitated.
Pulls on or removes tubes or catheters 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.
Spontaneously pays attention to caregiver.
-1: Drowsy.
Not fully alert, but has sustained, more than 10 seconds awakening, with eye contact, to voice.
-2: Light sedation.
Briefly, less than 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 stimulation.
-5: Unarousable.
No response to voice or physical stimulation.
References
Multidisciplinary management of sedation and analgesia in critical care. Semin Respir Crit Care Med. 2001;22(2):211-26
doi:
10.1055/s-2001-13834
close