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The Sedation–Agitation Scale |
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| Score |
Description |
Example |
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| 7 |
Dangerous agitation |
Pulling at endotracheal tube, trying to remove catheters, climbing over bedrails, thrashing from side to side, striking at staff |
| 6 |
Very agitated |
Patient does not calm down in response to verbal instructions or reassurance, requires physical restraint, biting endotracheal tube |
| 5 |
Agitated |
Anxious or agitated but calms down in response to verbal instructions or reassurance |
| 4 |
Calm, cooperative |
Calm, easily rousable, follows commands |
| 3 |
Sedated |
Difficult to rouse, awakens to verbal stimuli or gentle shaking but drifts off again, will follow simple commands |
| 2 |
Very sedated |
Can be roused by physical stimuli but does not communicate or follow commands, may move spontaneously |
| 1 |
Not rousable |
May move or grimace minimally to stimuli but does not communicate or follow commands |
Muellejans et al. Critical Care 2004 8:R1 doi:10.1186/cc2398 |
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