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RASS (Richmond Agitation-Sedation Scale)

Assessment

RASS Score

0

Alert and calm — ideal for most ICU patients

About

The Richmond Agitation-Sedation Scale (RASS) is a validated 10-point scale used to assess the level of agitation or sedation in ICU patients. It ranges from +4 (combative) to -5 (unarousable). RASS is commonly used to titrate sedative medications and set sedation targets. For most mechanically ventilated ICU patients, the target RASS is 0 to -2 (alert and calm to light sedation).

Formula

RASS ranges from +4 (combative) to −5 (unarousable)
Target for most ICU patients: 0 to −2

Interpretation

RASS ScoreTermInterpretation
+4 to +1AgitatedCombative to restless
0Alert & CalmIdeal target
-1 to -2Light SedationAcceptable target range
-3Moderate SedationMay be appropriate in some cases
-4 to -5Deep SedationAssess need for this depth

References

  1. Sessler CN, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166(10):1338-1344.
  2. Ely EW, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003;289(22):2983-2991.

FAQ

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Disclaimer

For educational and informational purposes only. Not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional.