What is Ramsey Sedation Scale

Ramsay sedation scale is a contrivance which is used to appraise sedation in a patient. Sedation is the reduction of agitation. It is widely used in procedures such as endoscopy, vasectomy. This scale was named after Dr. Michael A.E. Ramsay, who became president of the Baylor Research Institute and he was an anesthesiologists. He used althesin or alphaxalone-alphadone sedative to determine the different level of sedation in a patient. From his study he concluded that levels between two and five are levels of contentment of a patient and his study was published in the British Medical Journal in an article named” Controlled Sedation with Alphaxalone-Alphadolone”.

There are many types of scales that are use to study or administer sedation and anesthesia such as the Richmond Agitation Assessment Scale, the Motor Activity Assessment Scale and the Sedation Agitation Scale. But Ramsey sedation scale is widely used for this purpose. This scale was introduced in 1974.

In this scale 6 levels are use to represent different levels of sedation. First level represent the least amount of sedation and sixth the most.

The scale 1 to 6 represent as follows:-

Anxious and agitation or restless. Co-operative, calm. Responsive to commands. Exhibiting brisk response to light and sound. Exhibiting a sluggish response to light and sound. Unresponsive.

Ramsay sedation scale is of two levels: – level one through three monitor waking levels and level four through six monitor sleeping levels.

This scale is widely used by doctors, nurses, anesthesiologists to find out the effect of treatment and receive of optimal dosage by a patient. Because unwarranted dosage can cause sedation and too little amount of dosage can lead to discomfort and pain.

The disadvantages of this scale is that it purely depends upon the patient response. But if the patient has received neuromuscular blocking drugs and he is not able to respond then this scale will fail.

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