Table 1 Comparison of Richmond Agitation-Sedation Scale and University of Michigan Sedation Scale
From: Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children
Richmond Agitation-Sedation Scale | University of Michigan Sedation Scale | ||||
|---|---|---|---|---|---|
Score | Term | Description | 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 | 0 | Awake and alert | ||
−1 | Drowsy | Not fully alert, but has sustained (more than 10 s) awakening, with eye contact, to voice | 1 | Minimally sedated | Tired/sleepy, appropriate response to verbal conversation and/or sound |
−2 | Light sedation | Briefly (less than 10 s) awakens with eye contact to voice | |||
−3 | Moderate sedation | Any movement (but no eye contact) to voice | 2 | Moderately sedated | Somnolent/sleeping, easily aroused with light tactile stimulation or a simple verbal command |
−4 | Deep sedation | No response to voice, but any movement to physical stimulation | 3 | Deeply sedated | Deep sleep, arousable on with significant physical stimulation |
−5 | Unarousable | No response to voice or physical stimulation | 4 | Unarousable | Unarousable |