The Children's Hospital of Wisconsin Sedation Scale for procedural sedation in children can be used to help guide sedation in pediatric patients. It is based on the Ramsay scale. The authors are from the Children's Hospital of Wisconsin in Milwaukee.
Level of Consciousness |
Stimulus |
Score |
agitated, anxious, in pain |
spontaneous without stimulus |
6 |
awake and calm |
spontaneous without stimulus |
5 |
drowsy with eyes open or closed, easily aroused |
with mild to moderate verbal stimulus |
4 |
drowsy, arousable |
moderate tactile or loud verbal |
3 |
can be aroused to consciousness but slow |
requires sustained painful stimulus |
2 |
can be aroused but not to consciousness |
requires sustained painful stimulus |
1 |
unresponsive |
no response to painful stimuli |
0 |
Score |
Interpretation |
6 |
inadequate sedation |
5 |
minimal conscious sedation |
4 |
conscious sedation, moderate |
3 |
conscious sedation, moderate to deep |
2 |
conscious sedation, deep |
1 |
<excessive sedation> |
0 |
anesthesia |
Specialty: Anesthesiology, Pedatrics, Critical Care, Emergency Medicine, Surgery, general