Using and understanding sedation scoring systems

Abstract

In modern intensive care unit practice, the primary goal of sedation is to make patients calm, comfortable, cooperative and communicative. Sedation scoring systems enable staff to assess patients' depths of sedation and so adjust analgesic and sedative therapies to achieve an optimum level of sedation for the individual patient. There is currently no consensus on the choice of instrument, and units should choose and adhere to a sedation scoring system that best fits the needs of their local practice. Regardless of the scale chosen, sedation scoring is best implemented as part of a sedation protocol designed to achieve optimum sedation and support patient-centred care. © The Intensive Care Society 2010.