+4 — Combative: overtly combative/violent, immediate danger to staff+4+3 — Very agitated: pulls/removes tubes or catheters, aggressive toward staff+3+2 — Agitated: frequent nonpurposeful movement, fights ventilator+2+1 — Restless: anxious or apprehensive, movements not aggressive or vigorous+10 — Alert and calm+0-1 — Drowsy: not fully alert, but sustained eye opening/contact to voice (> 10 sec)-1-2 — Light sedation: briefly awakens with eye contact to voice (< 10 sec)-2-3 — Moderate sedation: movement or eye opening to voice but no eye contact-3-4 — Deep sedation: no response to voice, any movement to physical stimulation-4-5 — Unarousable: no response to voice or physical stimulation-5

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CalculatorsRichmond Agitation-Sedation Scale (RASS)

Critical CareScore

Richmond Agitation-Sedation Scale (RASS)

Standardized 10-level scale to assess sedation and agitation in ICU patients, guide sedation titration, and facilitate daily awakening trials.

Parameters

Select the RASS level that best describes the patient

+4 — Combative: overtly combative/violent, immediate danger to staff+4+3 — Very agitated: pulls/removes tubes or catheters, aggressive toward staff+3+2 — Agitated: frequent nonpurposeful movement, fights ventilator+2+1 — Restless: anxious or apprehensive, movements not aggressive or vigorous+10 — Alert and calm+0-1 — Drowsy: not fully alert, but sustained eye opening/contact to voice (> 10 sec)-1-2 — Light sedation: briefly awakens with eye contact to voice (< 10 sec)-2-3 — Moderate sedation: movement or eye opening to voice but no eye contact-3-4 — Deep sedation: no response to voice, any movement to physical stimulation-4-5 — Unarousable: no response to voice or physical stimulation-5

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