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Richmond Agitation-Sedation Scale (RASS)

Ranks agitation and possibility for sedation.

See More Info Section for defintions of criteria.
About the Creator
Dr. Curtis Sessler
Content Contributors

Management

  • Patients with a RASS of -3 or less should have their sedation decreased or modified in order to achieve a RASS of -2 to 0.
  • Patients with a RASS of 2 to 4 are not sedated enough and should be assessed for pain, anxiety, or delirium. The underlying etiology of the agitation should be investigated and appropriately treated to achieve a RASS of -2 to 0.

Critical Actions

  • A RASS score should be obtained on all hospitalized patients and at regular interval in all mechanically ventilated patients.
  • Unless a patient meets indication for deep sedation, a protocol for minimal sedation (RASS -2 to 0) should be used.
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