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Sedation Scale of Chamorro et al

Purpose: To evaluate the level of sedation for patient in the intensive care unit using the scale of Chamorro et al.

Description

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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Specialty

Objective

ICD-10