Recommendations

Routine use of sedation scoring and charting in ICU patients is strongly recommended. Sedation scores are valuable tools for achieving stable and suitable sedation for the individual patient. In routine monitoring with sedation scores, increased depth of sedation must prompt the physician to make a differential diagnosis between oversedation, decreased conscious level due to neurological disease (e.g. cerebral insult), or ICU-associated depression. Monitoring of all vital signs in ICU patients, including sedation, includes a legal aspect that should not be underemphasized. Use of one of the simple objective clinical scoring systems is recommended, of which the Ramsey sedation score is currently the most popular.

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