A variety of systems gauge and record the level of sedation in a mechanically ventilated patient. This assists the staff to titrate the dose of sedative agents to avoid either over- or under-sedation. The forerunner developed in 1974 was the Ramsay Sedation Score which consists of a 6-point scoring system separated into 3 awake and 3 asleep levels where the patient responds to a tap or loud auditory stimulus with either brisk, sluggish or no response at all. The main problem lies in achieving reproducibility of the tap or loud auditory stimulus. We currently use an 8-point system developed in-house.


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