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Anaesthesia / Critical Care Strong — widely used; predecessor to RASS; internationally validated

Ramsay Sedation Scale

Assesses sedation depth in mechanically ventilated ICU patients on a 6-point scale. Predecessor to RASS. Target level typically 2–3 for most ICU patients.

Score interpretation

Level 1 — Inadequate Sedation / Agitated 1

Patient anxious, agitated, restless. Sedation inadequate or under-dosed.

→ Assess for pain (CPOT scale), delirium (CAM-ICU), and reversible causes (catheter discomfort, ETT, bladder). Titrate sedation. Consider analgo-sedation approach (fentanyl/morphine first).

Levels 2–3 — Optimal Sedation (Target for Most Patients) 2–3

Cooperative (Level 2) or responds to commands (Level 3). Optimal sedation for most ICU patients.

→ Maintain current sedation regimen. Daily sedation breaks (SAT). Assess for delirium (CAM-ICU). Encourage early mobilisation.

Levels 4–5 — Deep Sedation 4–5

Deep sedation — responds only to strong stimuli. Usually only appropriate for specific indications.

→ Acceptable for: ICP management, severe ARDS with prone positioning, refractory status epilepticus, ECMO. Otherwise: consider lightening sedation to prevent ICU delirium, prolonged ventilation, and weakness.

Level 6 — No Response 6

No response to any stimulation. Deeply sedated or possible neurological event.

→ Exclude neurological cause (CT if unexpected). Review sedation doses — likely over-sedated. Hold sedation and reassess. Check for drug accumulation (renal/hepatic failure).

Interpretation bands for the Ramsay Scale. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.