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😴 RASS Score

Richmond Agitation-Sedation Scale
+4 Combative
Overtly combative, violent, immediate danger to staff
+4
+3 Very Agitated
Pulls or removes tube(s) or catheter(s); aggressive
+3
+2 Agitated
Frequent non-purposeful movement, fights ventilator
+2
+1 Restless
Anxious but movements not aggressive/vigorous
+1
0 Alert and Calm
Spontaneously pays attention to caregiver
0
-1 Drowsy
Not fully alert, sustained awakening to voice (>10s)
-1
-2 Light Sedation
Briefly awakens to voice (<10s)
-2
-3 Moderate Sedation
Movement or eye opening to voice (no eye contact)
-3
-4 Deep Sedation
No response to voice, but movement or eye opening to physical stimulation
-4
-5 Unarousable
No response to voice or physical stimulation
-5
0
RASS Score (-5 to +4)

📊 Sedation Goal

-

📚 Evidence & Guidelines Class I Recommendation
★★★★★ (2002)
Citation: Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166(10):1338-1344.
Guideline: SCCM PADIS Guidelines
📖 View on PubMed
class="disc">⚠️ Medical Disclaimer

For ICU sedation assessment. Titrate per protocol.

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