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. 2021 Mar 21;71(4):381–386. doi: 10.1016/j.bjane.2020.12.027

Table 1.

Riker Sedation/Agitation Scale (SAS).

Score Term Descriptor
7 Severely agitated Remove endotracheal tubes, attempt to remove catheters, climb over bedrail, attack staff, thrash sideways
6 Very agitated Do not calm down despite frequent verbal reminders of limits, require physical restraints, bite endotracheal tubes
5 Agitated Display anxiety or mild agitated, attempt to sit up, calm down on verbal instructions
4 Calm, cooperative Calm, easily arousable, follow verbal instructions
3 Sedated Difficult to arouse, awaken to verbal stimuli or gentle shaking but drifts off again, follow simple verbal instructions
2 Highly sedated Arouse to physical stimuli but do not communicate or follow verbal instructions, may move spontaneously
1 Unarousable Minimal or no response to noxious stimuli, do not communicate or follow verbal instructions