Motor Activity Assessment Scale

Abstract

The MAAS is a valid and reliable sedation scale for use with mechanically ventilated patients in the SICU. Further studies are warranted regarding the effect of MAAS implementation in our SICU on patient outcomes, such as quality of sedation and length of mechanical ventilation, as well as the use of the MAAS in other patient populations (e.g., medical).

Nursing Interventions: Effects of Coma Arousal Technique on the Clinical Outcomes of Unconscious Patients

“…This scale is adopted from (16) to assess patients' levels of sedation or irritability and restlessness regarding performing coma arousal technique practices. It is a 7-point scale ranging from 0 (unresponsive) to 6 (dangerously agitated).…”

“…Also, the reliability and validity of the SMART was assessed by Gill-Thwaites and Munday, (2004) (18) who reported that Cronbach α 0.89 and a Kappa coefficient of 0.97. Concerning MAAS, it was previously tested for validity and reliability and was considered as a valid and reliable sedation scale for use by nurses for mechanically ventilated patients by Devlin et al (1999) (16) .…”

“…In the same line, Wijdicks, (2006) (38) noticed that the unconscious patients who exposed to stimulation program provided by the family and nurse had a significant recovery of sensory and motor function compared to control group. Moreover, Devlin et al, (1999) (39) showed that an improvement scores of the motor, tactile, visual and auditory modalities after application of stimulation program for patients with head injury after 2weeks. In addition, Hassan et al, (2010) (24) found that the unconscious patients were started to have tactile, auditory and motor responses on days 10-15 and noticed that the visual responses were begun after 20-25 days.…”

Beneficial effects of loxapine on agitation and breathing patterns during weaning from mechanical ventilation

“…The RASS and two other agitation scales were monitored: MAAS [16] and the Ramsay score [17]. We also monitored the following physiological variables: respiratory rate, heart rate, systolic arterial pressure, and airway occlusion pressure during the first 0.1 seconds of inspiration (P 0.1).…”

Opioids and Infections in the Intensive Care Unit Should Clinicians and Patients be Concerned?

“…Figure 1 shows the distribution of morphine equivalent doses in mg/kg/day in 26 studies. The median dose was 0.7 mg/kg/day or about 49 mg/day for a patient weighing 70 kg (Sun et al 1992;Carrasco et al 1993;Sun and Weissman 1994;Ronan et al 1995;Kress et al 1996;Barrientos-Vega et al 1997;Devlin et al 1997;McLeod et al 1997;Watling et al 1997;Weinbroum et al 1997;Cammarano et al 1998; Sanchez-Izquierdo-Riera et al Brook et al 1999;Devlin et al 1999;Swart et al 1999;Fraser et al 2000;Kress et al 2000;Brandl et al 2001;Ely et al 2001;Payen et al 2001;Ely et al 2003;De Jonghe et al 2005;Kahn et al 2005;Carson et al 2006;Wolthuis et al 2007;Girard et al 2008). …”