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 |
Specialty: Pedatrics, Critical Care, Emergency Medicine, Surgery, general
ICD-10: ,
