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  • Title: Development of the American association of critical-care nurses' sedation assessment scale for critically ill patients.
    Author: De Jong MM, Burns SM, Campbell ML, Chulay M, Grap MJ, Pierce LN, Simpson T.
    Journal: Am J Crit Care; 2005 Nov; 14(6):531-44. PubMed ID: 16249590.
    Abstract:
    Clinicians commonly sedate critically ill patients. Sedatives should be administered to achieve predetermined end points. Most currently available scales used to assess sedation are inadequate because they focus on a single domain, such as consciousness. The development of the American Association of Critical-Care Nurses' Sedation Assessment Scale is described. This new scale consists of 5 domains: consciousness, agitation, anxiety, sleep, and patient-ventilator synchrony. A major advantage of the scale is that its domains parallel common goals of sedation therapy for critically ill patients. The proposed measurements for each domain are based on a comprehensive evaluation of the science and expert recommendations. Before the scale is widely used, clinical testing is required to determine its validity and reliability in a variety of critically ill patients and care situations.
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