A Study of Correlation between Ramsay “Sedation Level” Scale and Richmond “Agitation–Sedation” Scale and Physiological Parameters to Determine the Need for Sedation in Patients Undergoing Mechanical Ventilation, 2013

Abstract

" scale is currently used to determine the level of sedation in patients undergoing mechanical ventilation. This scale has advantages and disadvantages. The present study aims to investigate the correlation between the scores obtained from Ramsay "Sedation Level" Scale and Richmond "Agitation-Sedation" Scale and physiological parameters to determine the need for sedation in patients undergoing mechanical ventilation. This study was conducted on 100 patients undergoing mechanical ventilation using purposive sampling. Data were analyzed using Pearson correlation coefficient, regression analyses and descriptive statistics. There was a significant positive correlation between the scores of Richmond "scale" and physiological parameters (respiration, heart rate and blood pressure). There was a significant negative relationship between the scores of Ramsay "scale" and two physiological parameters, i.e. respiration rate and blood pressure. There was an intense and inverse correlation between Ramsay and Richmond scales (r=0.907) (p<0.001). Considering the high correlation between Richmond scale and components of physiological parameters compared to Ramsay scale, this instrument is an appropriate scale to measure the level of sedation in patients undergoing mechanical ventilation in the intensive care unit (ICU).

PERBANDINGAN PENGUKURAN STATUS SEDASI RICHMOND AGITATION SEDATION SCALE (RASS) DAN RAMSAY SEDATION SCALE (RSS) PADA PASIEN GAGAL NAFAS TERHADAP LAMA WEANING VENTILATOR DI GICU RSUP Dr.HASAN SADIKIN BANDUNG

“…RASS mampu mengukur kualitas serta tingkat sedasi dikarenakan RASS memiliki nilai psikometrik interrater reliability dan validity yang paling tinggi dibandingkan skala sedasi yang lain serta mampu membedakan tingkatan sedasi pada berbagai kondisi klinis (Barr et al, 2013). RASS memiliki tingkatan khusus dalam mengukur status sedasi, sehingga dapat dijadikan dasar untuk titrasi sedasi (Seidabady, et al, 2014). RASS memiliki penilaian yang lebih spesifik terhadap status sedasi sehingga dapat mempersempit penilaian subjektif yang dihasilkan oleh tim penilai (Rassin et al, 2007).…”

“…Menurut Seidabady et al (2014), RSS lebih sering digunakan karena memiliki 6 tingkatan untuk mengukur status agitasi sedasi. Namun RSS memiliki kelemahan karena tidak mampu mengukur level atau kedalaman sedasi, sehingga tidak dapat dijadikan dasar yang pasti untuk melakukan titrasi sedasi.…”