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. 2019 Apr-Jun;13(2):119–125. doi: 10.4103/sja.SJA_600_18

Table 1.

Ramsay sedation scale

Score Definition
1 Anxious and agitated or restless or both
2 Cooperative, oriented, and tranquil
3 Responds to commands only
4 Brisk response to a light glabellar tap or loud auditory stimulus
5 Sluggish response to a light glabellar tap or loud auditory stimulus
6 No response to a light glabellar tap or loud auditory stimulus

Performed using a series of steps: observation of behavior (score 1 or 2), followed (if necessary) by assessment of response to voice (score 3), followed (if necessary) by assessment of response to loud auditory stimulus or light glabellar tap (scores 4–6)