Minimum score on RASS
-5
Maximum score on RASS
+4
RASS +4 =
combative
RASS +3 =
very agitated
RASS +2 =
agitated
RASS +1 =
Restless
RASS 0 =
alert and calm
RASS -1 =
drowsy (eye contact>10 sec)
RASS -2 =
light sedation (eye contact <10 sec)
RASS -3 =
Moderate sedation (opens eyes to voice, but no eye contact)
RASS -4 =
deep sedation (no response to voice, but any response to physical stimulation)
RASS -5
Unarousable