SAS = Sedation-Agitation Scale (Riker)

• 7 – dangerous agitation
• 6 – very agitated
• 5 – agitated
• 4 – calm, cooperative
• 3 – sedated
• 2 – very sedated
• 1 – unarousable

RASS = Richmond Agitation-Sedation Scale

• +4: combative, violent, dangerous
• +3: very agitated, aggressive
• +2: agitated, frequent non-purposeful movements
• +1: restless, anxious but not aggressive or vigorous
• 0: alert and calm
• -1: drowsy, not fully awake but sustains awake 10 seconds or more
• -2: light sedation, brief awake less than 10 seconds
• -3: moderate sedation, movement or eyes open to voice but no eye contact
• -4: deep sedation, no response to voice but responds to physical stimulation
• -5: unarousable, no response to voice or physical stimulation