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P243 Reliability and utility of the Ramsay sedation scale for dosing sedatives in critically ill intubated patients

H. Deol; A. Minaie; S. Surani; G. Udeani
Author and Funding Information

1Pharmacy Services

2Pulmonary, Critical Care, Corpus Christi Medical Center, Corpus Christi

3Texas A&M University, College Station

4University of North Texas, Denton

5Texas A&M University Health Science Center, Kingsville, United States


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A143. doi:10.1016/j.chest.2017.04.150
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Introduction: Titratable palliative sedation (TPS) is the use of sedative therapeutic agents to ameliorate unendurable and refractory distress via reduction in patient consciousness. TPS can be adjusted based on objective and subjective data: vitals, labs, Ramsay Sedation Scale (RSS) and Richmond Agitation-Sedation Scale (RASS). Inappropriate dosing, including oversedation from variability in clinician assessment of sedation scales, can contribute to significant negative clinical outcomes. We assessed inter-rater reliability (IRR) and its correlation to variations in dosing to determine whether additional training in sedation scale assessment is necessary at our community institution.

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