Table 1.
The description of Richmond Agitation-Sedation Scales (RASS)
| 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-ventillator dyssynchrony |
| +1 | Restless | Anxious or apprehensive, but movements not aggressive or vigorous |
| 0 | Alert and calm | |
| −1 | Drowsy | Not fully alert, but has sustained awakening, with eye contact, to voice |
| −2 | Light sedation | Briefly awakens with eye contact to voice |
| −3 | Moderate sedation | Any movement to voice |
| −4 | Deep sedation | No response to voice, but any movement to physical stimulation |
| −5 | Unarousable | No response to voice or physical stimulation |