What sedation scale do you use during conscious sedation? My hospital is using a PAR (recovery) scale which is not really appropriate for intra-procedure, and I'm going to replace it with a better scale. Any recommendations?
Mar 23, '08
Quote from zebras
Don't know if this helps, from some work I am currently doing on sedation:
The literature states over-sedation is common (Brochard, 2008). It is indicated as a humane measure to ‘allay anxiety, relieve discomfort and aid sleep’ in the critically ill (Adam and Osbourne, 2005). It may also be required to allow the patient to tolerate ventilation, undergo procedures (CT scanning, for instance) or to blunt stress responses such as tachycardia, hypertension or raised intracranial pressure. Confused patients...may require sedation. If this is needed it should be as light as possible and both reassessed and documented hourly using a formal assessment tool, such as the UCLH Sedation Score (Adams and Osbourne, 2005).
Thanks for the UCLH scale, scarymary! I have never seen that one, and I like it quite a lot. Thanks to you too, Suzanne - I have seen the Riker one, and I'm not crazy about it because it's designed for intubated patients (has "biting ET tube" as one of the descriptors). A lot of the scales are designed for critical care, not procedural sedation, but some translate better than others.
I'm going to bring the UCLH scale to work tomorrow and see what my co-workers think.
Last edit by MaryAnn_RN on Mar 23, '08