Assessment of sedation depth in critically ill adults using the Richmond Agitation Sedation Scale

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Abstract

Subjects undergoing mechanical ventilation are frequently sedated, thus it is relevant to assess the level of sedation. The Richmond Agitation Sedation Scale (RASS) is one of the tools yielding the highest psychometric scores to assess the level of sedation. The assessment begins by observing if subjects have their eyes open or closed, assigning positive or negative scores. We analyse subjects’ movements and behavioural responses to determine positive scores. Audible and tactile stimuli are administered and subjects’ responses are considered to determine negative scores.

References

- Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, 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):1338-44.

- Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al; American College of Critical Care Medicine. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263-306.

- Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018;46(9):e825-e873.

- Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003;289(22):2983-91.

- Murray MJ, DeBlock H, Erstad B, Gray A, Jacobi J, Jordan C, et al. Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient. Crit Care Med. 2016;44(11):2079-2103.

Published

2022-06-30

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1.
Goldberg MA. Assessment of sedation depth in critically ill adults using the Richmond Agitation Sedation Scale. AJRPT. 2022;4(2):60-2. doi: 10.58172/ajrpt.v4i2.228