Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).

By E. W. Ely, B. Truman, Ayumi K. Shintani, J. W. Thomason, Arthur P. Wheeler, S. Gordon, J. Francis, Theodore Speroff, S. Gautam, R. Margolin and 3 more. Journal of the American Medical Association (JAMA), 2003

1,704 citations recorded by the source corpus.

Subfields: Anesthesiology and Pain Medicine, Critical Care and Intensive Care Medicine, Epidemiology

View Paper: https://www.semanticscholar.org/paper/c619cf5d4e206d36d0f55bf142d0786b71f61f5b

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Anesthesiology and Pain Medicine

1. S. Mcgrane
2. Ayumi Shintani
3. Mayur B. Patel
4. E. W. Ely
5. Robert S. Dittus
6. A. Marra
7. Shruti B. Patel
8. Christopher G Hughes

In Critical Care and Intensive Care Medicine

1. Pratik Pandharipande
2. Ayumi Shintani
3. Robert S. Dittus
4. J. Kress
5. B. Pun
6. E. W. Ely
7. Shruti B. Patel
8. Y. Skrobik

In Epidemiology

1. Ayumi Shintani
2. Pratik Pandharipande
3. Robert S. Dittus

Citations in the corpus

• Sedation and analgesia in the mechanically ventilated patient. (2012, methodology): “It has been validated for interrater reliability in the ICU and for titration of sedation over time (105, 106).”
• Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. (2004, methodology): “While no outcomes data from this report have been previously published, other data from this cohort have been published.(37,39,42) Exclusion criteria, defined a priori, are outlined in the patient flow diagram (FIGURE 1).”
• Incidence, risk factors and consequences of ICU delirium (2006, methodology): “As patients may be sedated but anxious, all patients with RASS scores of –3 or higher were asked about anxiety, and their response recorded (i. e., “yes” or “no”).”
• Sedation in the intensive care setting (2012, positive): “The most widely used arousal scales are the Richmond Agitation-Sedation Scale and the Riker Sedation-Agitation Scale.(25,26) When used appropriately, these scales can provide a therapeutic target, which can lead to decreased dosing of sedative medications and decreased time on mechanical ventilation”
• Delirium as a Predictor of Long-Term Cognitive Impairment in Survivors of Critical Illness (2010, neutral): “mond Agitation-Sedation Scale (27, 28), and”
• Days of delirium are associated with 1-year mortality in an older intensive care unit population. (2009, methodology): “Alertness was measured using the Richmond Agitation Sedation Scale (17, 18).”
• Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit (2013, background): “Both scales were able to discriminate different sedation levels in various clinical situations (247, 251, 252, 260, 263).”
• The ABCDEF Bundle in Critical Care (2017, background): “The RASS takes less than 20 seconds to performwith minimal training, and has shown high reliability among multiple types of health care providers and an excellent interrater reliability in a broad range of adult medical and surgical ICU patients.(25) To maximize patient outcomes, it is essential to ”
• Lorazepam Is an Independent Risk Factor for Transitioning to Delirium in Intensive Care Unit Patients (2006, methodology): “A full description of the study protocol and clinical outcomes data from this cohort have been published previously.(8,9,14,15) The implication of sedatives and analgesics as risk factors for delirium in this cohort prompted us to conduct an in-depth analysis of the temporal relation between adminis”