Chamorro et al developed a scale for determining the effectiveness of sedation in a patient receiving intensive care. The authors are from multiple hospitals in Spain.
Agents studied: propofol and midazolam
Measures:
(1) patient's synchrony with the ventilator
(2) spontaneous movements
Measure
Finding
Points
patient's synchrony with the ventilator
total and permanent
2
sporadically fighting the ventilator
1
frequently fighting the ventilator
0
spontaneous movements
none
2
coordinated movements
2
sporadic, agitated movements
1
frequent agitated movements
0
effectiveness scale =
= (points for synchrony with ventilator) + (points for spontaneous movements)
Interpretation:
• minimum score: 0
• maximum score: 4
Score
Effectiveness of Sedation
4
effective
3
acceptable
0 to 2
ineffective
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