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Richmond Agitation-Sedation Scale
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Richmond Agitation-Sedation Scale : ウィキペディア英語版
Richmond Agitation-Sedation Scale
Richmond Agitation-Sedation Scale is a medical scale used to measure the agitation or sedation level of a patient. It was developed with efforts of different practitioners, represented by physicians, nurses and pharmacists.〔Curtis N. Sessler, Mark S. Gosnell, Mary Jo Grap, Gretchen M. Brophy, Pam V. O'Neal, Kimberly A. Keane, Eljim P. Tesoro, and R. K. Elswick "The Richmond Agitation–Sedation Scale", American Journal of Respiratory and Critical Care Medicine, Vol. 166, No. 10 (2002), pp. 1338-1344.
doi: 10.1164/rccm.2107138〕〔Stawicki SP "Sedation scales: Very useful, very underused", OPUS 12 Scientist, Vol. 1, No. 2 (2007), pp. 10-12.〕
The RASS can be used in all hospitalized patients to describe their level of alertness or agitation.〔Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, Francis J, Speroff T, Gautam S, Margolin R, Sessler CN, Dittus RS, Bernard GR. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003 Jun 11;289(22):2983-91.〕 It is however mostly used in mechanically ventilated patients in order to avoid over and under-sedation. Obtaining a RASS score is the first step in administering the Confusion Assessment Method in the ICU (CAM-ICU), a tool to detect delirium in intensive care unit patients.
The RASS is one of many sedation scales used in medicine. Other scales include the Ramsay scale, the Sedation-Agitation-Scale, and the COMFORT scale for pediatric patients.
==Score==


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