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RASS has high reliability and validity in medical and surgical, ventilated and nonventilated, and sedated and nonsedated adult ICU patients. Sedative and analgesic medications are administered to many patients who are critically ill in intensive care units (ICUs) throughout the world (1\u20133).
Patient is alert, restless, or agitated. (score 0 to +4) (score \u20131) c. Patient awakens with eye opening and eye contact, but not sustained. ( score \u20132) d. Patient has any movement in response to voice but no eye contact. ( score \u20133) (score \u20134) (score \u20135)
The guideline recommends a goal RASS score of \u201c0 to \u22121\u201d for most patients, although specific exceptions exist (ie, neuromuscular blockade). The guideline also provides education and recommendations on drug administration and dosing for sedatives, analgesics, and antipsychotic agents.
Abstract ScoreTermDescription\u22122Light sedationBriefly (less than 10 seconds) awakens with eye contact to voice\u22123Moderate sedationAny movement (but no eye contact) to voice\u22124Deep sedationNo response to voice, but any movement to physical stimulation\u22125UnarousableNo response to voice or physical stimulation16 more rows • Jul 25, 2001
The Richmond Agitation and Sedation Scale (RASS) is a validated and reliable method to assess patients' level of sedation in the intensive care unit.
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The RASS is a user-friendly and therefore commonly used sedation scale, with scores ranging from +4 (a violent dangerous patient) to \u22125 (an unarousable patient). A sedation score of 0 is most often therapeutically targeted, as it correlates with an alert and calm patient.
Abstract ScoreTermDescription\u22122Light sedationBriefly (less than 10 seconds) awakens with eye contact to voice\u22123Moderate sedationAny movement (but no eye contact) to voice\u22124Deep sedationNo response to voice, but any movement to physical stimulation\u22125UnarousableNo response to voice or physical stimulation16 more rows • 25 Jul 2001
RASS is mostly used in the setting of mechanically ventilated patients in the intensive care unit to avoid over- and under-sedation. A RASS of -2 to 0 has been advocated in this patient population in order to minimize sedation.
A RASS of 0 moderately decreased the likelihood of delirium, while a RASS other than 0 moderately increased the likelihood.
-1. Drowsy. Not fully alert, but has sustained awakening. (eye-opening/eye contact) to voice (>10 seconds)

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