Table 3.
Richmond Agitation-Sedation Scale
| Points | Term | Description |
| + 4 | Combative | Overtly combative, violent, immediate danger to staff |
| + 3 | Very agitated | Pulls or removes tube(s) or catheter(s); verbally aggressive |
| + 2 | Agitated | Frequent non-purposeful movements; fights ventilator |
| + 1 | Restless | Anxious, but movements are not aggressive or vigorous |
| 0 | Alert and calm | |
| - 1 | Drowsy | Not fully alert, but has sustained awakening (eye-opening/eye contact) to voice (>10 seconds) |
| - 2 | Light sedation | Briefly awakens with eye contact to voice (<10 seconds) |
| - 3 | Moderate sedation | Movement or eye opening to voice (but no eye contact) |
| - 4 | Intense sedation | No response to voice, but movement or eye opening to physical stimulation |
| - 5 | Does not wake | No response to verbal or physical stimulation |
Translated by Nassar Junior AP, Pires Neto RC, de Figueiredo WB, Park M. Validity, reliability and applicability of Portuguese versions of sedation-agitation scales among critically ill patients. Sao Paulo Med J. 2008;126(4):215-9.(45)