Chamorro et al developed a scale for determining the level of patient sedation in the intensive care unit. This can be used to monitor a patient receiving sedation and to adjust the sedative dose. The authors are from multiple hospitals in Spain.
Parameters:
(1) communication
(2) eye opening
(3) motor response
(4) cough reflex to suction
(5) blinking to menace
(6) naso-palpebral reflex
(7) corneal reflex
Parameter
Finding
Points
communication
easy
3
possible
2
none
1
eye opening
spontaneous or on command, attentive
4
spontaneous or on command, inattentive
3
only on painful stimuli
2
none
1
motor response
on command
4
appropriate response
3
inadequate response
2
none
1
cough reflex to suction
present
2
absent
1
blinking to menace
present
2
absent
1
naso-palpebral reflex
present
2
absent
1
corneal reflex
present
2
absent
1
sedation score =
= SUM(points for all 7 items)
Interpretation:
• minimum score: 7
• maximum score: 19
• A score <= 11 indicates deep sedation.
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