Ramsay scale
The Ramsay Scale ( Ramsay Sedation Scale , also Ramsay Score ) is a scale introduced in 1977 by Michael Anthony Edward Ramsay for assessing the depth of sedation , which was widely used in intensive care medicine .
Application, gradation
Six categories (Ramsay 1-6) are distinguished on the basis of a clinical assessment.
| value | description |
|---|---|
| 1 | Patient anxious and / or restless |
| 2 | Patient cooperative, oriented and calm |
| 3 | Patient only replies when spoken to |
| 4th | Prompt reaction to light tapping on the glabella or loud speech |
| 5 | Sluggish response to light tapping on the glabella or speaking loudly |
| 6th | No response to light tapping on the glabella or loud speech |
evaluation
In contrast to some other scales for quantitative sedation assessment, the Ramsay scale has not been scientifically investigated for validity and reliability . The S3 guideline of the German specialist societies for analgesia, sedation and delirium management in intensive care medicine therefore recommends the use of the validated Richmond Agitation Sedation Scale (RASS) instead , which also records states of arousal.
Individual evidence
- ↑ a b MA Ramsay, TM Savege, BR Simpson, R Goodwin: Controlled sedation with alphaxalone-alphadolone. In: Br Med J. , 1974 Jun 22, 2 (5920), pp. 656-659. PMID 4835444
- ↑ a b S3 guideline for analgesia, sedation and delirium management in intensive care medicine of the DGAI and DIVI . In: AWMF online (as of 12/2009)
