Neurocritical Care (What Do I Do Now) by Wijdicks Eelco F.M. & Rabinstein Alejandro A

Author:Wijdicks, Eelco F.M. & Rabinstein, Alejandro A. [Wijdicks, Eelco F.M.]
Language: eng
Format: epub
Publisher: Oxford University Press, USA
Published: 2011-10-03T21:00:00+00:00

FIGURE 17.1 Assessment of level of sedation and delirium in the ICU. RASS, Richmond Agitation Sedation Scale (see Table 17.3); CAM-ICU, Confusion Assessment Method for the ICU: delirium is diagnosed by the presence of 3 of the 4 diagnostic features.

TABLE 17.1 The Richmond Agitation Sedation Scale for the Assessment of Depth of Sedation

+4 Very combative, violent, dangerous to staff

+3 Pulling catheters and tubes, aggressive

+2 Frequent nonpurposeful movements, fights ventilator

+1 Anxious but movements not aggressive or vigorous

0 Alert and calm

–1 Awakes (eye contact) for > 10 seconds in response to voice

–2 Awakes (eye contact) for < 10 seconds in response to voice

–3 Eye opening or movement to voice without eye contact

–4 No response to voice, but eye opening or movement to physical stimulation

–5 No response to voice or physical stimulation

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