Several modifications of the Glasgow coma score can be used to assess sedation for patient on ventilators. These may use two or more of the parameter groups to evaluate the patient.
NOTE: The scale of Cook and Palma is also based on the Glasgow Coma Score.
System used at Rotherham District General Hospital, Rotherham, UK:
(1) eye opening
(2) best motor response
System used by O'Sullivan at St Vincent's Hospital, New South Wales, Australia:
(1) eye opening
(2) best motor response
(3) best verbal response
(4) orientation
|
Parameter |
Clinical Status |
Score |
|
eye opening |
spontaneous |
4 |
|
|
to speech |
3 |
|
|
to pain |
2 |
|
|
none |
1 |
|
best motor response |
obeying commands |
6 |
|
|
localizing |
5 |
|
|
withdrawing |
4 |
|
|
flexing |
3 |
|
|
extending |
2 |
|
|
none |
1 |
|
best verbal response |
oriented |
5 |
|
|
confused |
4 |
|
|
inappropriate |
3 |
|
|
incomprehensible |
2 |
|
|
none |
1 |
|
orientation |
excellent orientation to time and space |
5 |
|
|
orientation to time only |
4 |
|
|
orientation to space only |
3 |
|
|
total disorientation |
2 |
|
|
no response |
1 |
Interpretation:
• minimum score for eye opening and motor response: 2
• minimum score for all 4 measures: 4
• maximum score for eye opening and motor response: 10
• maximum score for all 4 measures: 20
Specialty: Pedatrics, Critical Care, Emergency Medicine, Surgery, general
ICD-10: ,
