Ramsay Sedation Scale
Assesses sedation depth in ICU and procedural settings. Level 2-3 is optimal for most ICU patients; level 5-6 indicates deep sedation.
Score interpretation
→ Increase sedation: titrate propofol or midazolam; assess pain (CPOT); analgesia first (analgesia-first sedation); exclude delirium; consider dexmedetomidine for light sedation target
→ Maintain current sedation; SAT (spontaneous awakening trial) daily; SBT (spontaneous breathing trial) when ready; minimise benzodiazepines; promote sleep hygiene
→ Review indication for deep sedation (status epilepticus, ARDS, raised ICP); if no specific indication: target lighter sedation (Level 2-3); daily SAT; reduce sedation infusion rate; assess for paralysis reversal if NMB used
Interpretation bands for the Ramsay Sedation. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Propofol · Anaesthetic (IV Induction / Sedation)
- Midazolam (Paediatric) · Benzodiazepine — Status Epilepticus (First-Line) / Procedural Sedation
- Midazolam (Surgical — Anxiolysis/Sedation) · Benzodiazepine — Short-Acting Sedative
- Ketamine (Anaesthesia/Sedation) · Dissociative Anaesthetic (NMDA Receptor Antagonist)
- Midazolam (IV/IM) · Benzodiazepine
- Propofol (TCI / TIVA) · Intravenous Anaesthetic Agent
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.