A Review of Sedation Scales for the Cardiac Catheterization Laboratory

Journal of Perianesthesia Nursing

Volumn 29, Issue 3, 2014, Pages 191-212

  Conway, Aaron ^a,b,c   Page, Karen ^b,d   Rolley, John X ^b,e   Worrall Carter, Linda ^b,f  

^a QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

^b AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

^c WESLEY HOSPITAL   (Australia)

^d NATIONAL HEART FOUNDATION OF AUSTRALIA   (Australia)

^e DEAKIN UNIVERSITY   (Australia)

^f ST VINCENT S HOSPITAL   (Australia)

Author keywords

Cardiac catheterization laboratory; Research; Review; Sedation; Sedation scales

Indexed keywords

EID: 84901361552     PISSN: 10899472     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jopan.2013.05.017     Document Type: Article

References (85)

1. Malamed S. Sedation: A Guide to Patient Management 2003, Mosby, St Louis, MO.
2. Sessler C., Grap M., Brophy G.M. Multidisciplinary management of sedation and analgesia in critical care. Semin Respir Crit Care Med 2001, 22:211-225.
3. Ely E.W., Shintani A., Truman B., et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291:1753-1762.
4. Beddoes L., Botti M., Duke M. Patients' experiences of cardiology procedures using minimal conscious sedation. Heart Lung 2008, 37:196-204.
5. Denman T. Drugs used in conscious sedation. Br J Card Nurs 2010, 5:19-24.
6. Gill M., Green S.M., Krauss B. A study of the bispectral index monitor during procedural sedation and analgesia in the emergency department. Ann Emerg Med 2003, 41:234-241.
7. Dere K., Sucullu I., Budak E.T., et al. A comparison of dexmedetomidine versus midazolam for sedation, pain and hemodynamic control, during colonoscopy under conscious sedation. Eur J Anaesthesiol 2010, 27:648-652.
8. Bubien R.S., Fisher J.D., Gentzel J.A., et al. NASPE expert consensus document: Use of i.v. (conscious) sedation/analgesia by nonanesthesia personnel in patients undergoing arrhythmia specific diagnostic, therapeutic, and surgical procedures. Pacing Clin Electrophysiol 1998, 21:375-385.
9. Aldrete J.A., Kroulik D. A postanesthetic recovery score. Anesth Analg 1970, 49:924-934.
10. Muller L., Chanques G., Bourgaux C., et al. Impact of the use of propofol remifentanil goal-directed sedation adapted by nurses on the time to extubation in mechanically ventilated ICU patients: The experience of a French ICU. Ann Fr Anesth Reanim 2008, 27:481.e1-481.e8.
11. Quenot J., Ladoire S., Devoucoux F., et al. Effect of a nurse-implemented sedation protocol on the incidence of ventilator-associated pneumonia. Crit Care Med 2007, 35:2031-2036.
12. Mitchell M. Patient anxiety and conscious surgery. J Perioper Pract 2009, 19:168-173.
13. Gallagher R., Trotter R., Donoghue J. Preprocedural concerns and anxiety assessment in patients undergoing coronary angiography and percutaneous coronary interventions. Eur J Cardiovasc Nurs 2010, 9:38-44.
14. Odom-Forren J., Watson D. Practical Guide to Moderate Sedation-Analgesia 2005, Elsevier Mosby, St Louis, MO. 2nd ed.
15. Elliott D. Assessing measurement instruments. Nursing & Midwifery Research: Methods and Appraisal for Evidence-Based Practice 2007, Mosby Elsevier, Sydney, Australia. 3rd ed. Z. Schneider, D. Whitehead, D. Elliott, G. Lobiondo-Wood, J. Haber (Eds.).
16. Centre for Reviews and Dissemination Undertaking Systematic Reviews of Research on Effectiveness: CRD's Guidance for Carrying Out or Commissioning Reviews. Report no. 4 2001, University of York, York, UK. 2nd ed.
17. Cameron J., Worrall-Carter L., Driscoll A., Stewart S. Measuring self-care in chronic heart failure: A review of the psychometric properties of clinical instruments. J Cardiovasc Nurs 2009, 24:10-22.
18. De Jonghe B., Cook D., Griffith L., et al. Adaptation to the Intensive Care Environment (ATICE): Development and validation of a new sedation assessment instrument. Crit Care Med 2003, 31:2344-2354.
19. De Jonghe B., Bastuji-Garin S., Fangio P., et al. Sedation algorithm in critically ill patients without acute brain injury. Crit Care Med 2005, 33:120-127.
20. Trouiller P., Fangio P., Paugam-Burtz C., et al. Frequency and clinical impact of preserved bispectral index activity during deep sedation in mechanically ventilated ICU patients. Intensive Care Med 2009, 35:2096-2104.
21. DeJong M., Burns S., Campbell M., et al. Development of the American association of critical-care nurses' sedation assessment scale for critically ill patients. Am J Crit Care 2005, 14:531-544.
22. Ambuel B., Hamlett K.W., Marx C.M., Blumer J.L. Assessing distress in pediatric intensive care environments: The COMFORT scale. J Pediatr Psychol 1992, 17:95-109.
23. Ashkenazy S., DeKeyser-Ganz F. Assessment of the reliability and validity of the Comfort Scale for adult intensive care patients. Heart Lung 2011, 40:e44-e51.
24. Wielenga J.M., De Vos R., de Leeuw R., De Haan R.J. COMFORT Scale: A reliable and valid method to measure the amount of stress of ventilated preterm infants. Neonatal Netw 2004, 23:39-44.
25. Ista E., de Hoog M., Tibboel D., van Dijk M. Implementation of standard sedation management in paediatric intensive care: Effective and feasible?. J Clin Nurs 2009, 18:2511-2520.
26. Johansson M., Kokinsky E. The COMFORT behavioural scale and the modified FLACC scale in paediatric intensive care. Nurs Crit Care 2009, 14:122-130.
27. Bear L.A., Ward-Smith P. Interrater reliability of the COMFORT Scale. Pediatr Nurs 2006, 32:427-434.
28. Weinert C., McFarland L. The state of intubated ICU patients: Development of a two-dimensional sedation rating scale for critically ill adults. Chest 2004, 126:1883-1890.
29. Weinert C., Sprenkle M. Post-ICU consequences of patient wakefulness and sedative exposure during mechanical ventilation. Intensive Care Med 2008, 34:82-90.
30. Weinert C.R., Calvin A.D. Epidemiology of sedation and sedation adequacy for mechanically ventilated patients in a medical and surgical intensive care unit. Crit Care Med 2007, 35:393-401.
31. Sessler C., Gosnell M., Grap M. A new agitation-sedation scale for critically ill patients: Development and testing of validity and interrater reliability. Am J Respir Crit Care Med 2000, 161:A506.
32. Karamchandani K., Rewari V., Trikha A., Batra R.K. Bispectral index correlates well with Richmond agitation sedation scale in mechanically ventilated critically ill patients. J Anesth 2010, 24:394-398.
33. Turkmen A., Altan A., Turgut N., Vatansever S., Gokkaya S. The correlation between the Richmond agitation-sedation scale and bispectral index during dexmedetomidine sedation. Eur J Anaesthesiol 2006, 23:300-304.
34. Williams T.A., Martin S., Leslie G., et al. Duration of mechanical ventilation in an adult intensive care unit after introduction of sedation and pain scales. Am J Crit Care 2008, 17:349-356.
35. Grap M.J., Strickland D., Tormey L., et al. Collaborative practice: Development, implementation, and evaluation of a weaning protocol for patients receiving mechanical ventilation. Am J Crit Care 2003, 12:454-460.
36. Ely E.W., Truman B., Shintani A., et al. Monitoring sedation status over time in ICU patients: Reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA 2003, 289:2983.
37. Masica A.L., Girard T.D., Wilkinson G.R., et al. Clinical sedation scores as indicators of sedative and analgesic drug exposure in intensive care unit patients. Am J Geriatr Pharmacother 2007, 5:218-231.
38. Sessler C., Gosnell M., Grap M., et al. The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002, 166:1338-1344.
39. Moons P., Sels K., De Becker W., De Geest S., Ferdinande P. Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Med 2004, 30:1348-1355.
40. Akrofi M., Miller S., Colfar S., et al. A randomized comparison of three methods of analgesia for chest drain removal in postcardiac surgical patients. Anesth Analg 2005, 100:205-209.
41. Harris C., O'Donnell C., MacMillan R., Mostafa S. Use of propofol by infusion for sedation of patients undergoing haemofiltration: Assessment of the effect of haemofiltration on the level of sedation and on blood propofol concentration. J Drug Dev 1991, 4(Suppl 3):37-39.
42. Riker R.R., Fraser G.L., Simmons L.E., Wilkins M.L. Validating the Sedation-Agitation Scale with the Bispectral Index and Visual Analog Scale in adult ICU patients after cardiac surgery. Intensive Care Med 2001, 27:853-858.
43. Luer J.M. Sedation and chemical relaxation in critical pulmonary illness: Suggestions for patient assessment and drug monitoring. AACN Adv Crit Care 1995, 6:333-343.
44. Hogg L.H., Bobek M.B., Mion L.C., et al. Interrater reliability of 2 sedation scales in a medical intensive care unit: A preliminary report. Am J Crit Care 2001, 10:79-83.
45. Devlin J., Boleski G., Mlinarek M. Motor activity assessment scale: A valid and reliable sedation scale for use with mechanically ventilated patients in adult surgical intensive care unit. Crit Care Med 1997, 27:1271-1275.
46. Burkard J.F. Bispectral Analysis and Motor Activity Assessment Scores in Mechanically Ventilated Patients in the Intensive Care Unit 2003, University of Tennessee Center for the Health Sciences, TN.
47. Samuelson K., Lundberg D., Fridlund B. Memory in relation to depth of sedation in adult mechanically ventilated intensive care patients. Intensive Care Med 2006, 32:660-667.
48. Samuelson K.A.M., Lundberg D., Fridlund B. Light vs. heavy sedation during mechanical ventilation after oesophagectomy-A pilot experimental study focusing on memory. Acta Anaesthesiol Scand 2008, 52:1116-1123.
49. Olleveant N., Humphris G., Roe B. A reliability study of the modified New Sheffield Sedation Scale. Nurs Crit Care 1998, 3:83-88.
50. Botha J., Mudholkar P. The effect of a sedation scale on ventilation hours, sedative, analgesic and inotropic use in an intensive care unit. Resuscitation 2004, 6:253-257.
51. Laing A.S.M. The applicability of a new sedation scale for intensive care. Intensive Crit Care Nurs 1992, 8:149-152.
52. Mirski M.A., LeDroux S.N., Lewin J.J.I., Thompson C.B., Mirski K.T., Griswold M. Validity and reliability of an intuitive conscious sedation scoring tool: The nursing instrument for the communication of sedation. Crit Care Med 2010, 38:1674-1684.
53. Riker R., Picard J., Fraser G. Prospective evaluation of the sedation-agitation scale for adult critically ill patients. Crit Care Med 1999, 27:1325-1329.
54. de Wit M., Epstein S.K. Administration of sedatives and level of sedation: Comparative evaluation via the Sedation-Agitation Scale and the Bispectral Index. Am J Crit Care 2003, 12:343-348.
55. Frenzel D., Greim C.-A., Sommer C., Bauerle K., Roewer N. Is the bispectral index appropriate for monitoring the sedation level of mechanically ventilated surgical ICU patients?. Intensive Care Med 2002, 28:178-183.
56. Simmons L.E., Riker R.R., Prato B.S., Fraser G.L. Assessing sedation during intensive care unit mechanical ventilation with the Bispectral Index and the Sedation-Agitation Scale. Crit Care Med 1999, 27:1499-1504.
57. Arbour R., Waterhouse J., Seckel M.A., Bucher L. Correlation between the Sedation-Agitation Scale and the Bispectral Index in ventilated patients in the intensive care unit. Heart Lung 2009, 38:336-345.
58. Dahaba A.A., Lischnig U., Kronthaler R., et al. Bispectral-index-guided versus clinically guided remifentanil/propofol analgesia/sedation for interventional radiological procedures: An observer-blinded randomized study. Anesth Analg 2006, 103:378-384.
59. Haddad S., Arabi Y., Al-Dawood A., et al. Sedation in ICU: Are we achieving goals?. Middle East J Anesthesiol 2009, 20:389-396.
60. Bennett J. Protocol-directed sedation did not reduce duration of mechanical ventilation or hospital stay in ICU patients. Evid Based Nurs 2008, 11:124.
61. Brandl K.M., Langley K.A., Riker R.R., Dork L.A., Quails C.R., Levy H. Confirming the reliability of the sedation-agitation scale administered by ICU nurses without experience in its use. Pharmacotherapy 2001, 21:431-436.
62. Ruseckaite R., Bucknall T. Assessing the reliability of the Sedation-Agitation Scale between nurses and doctors in a New Zealand ICU. Aust Crit Care 2008, 21:220-222.
63. Ryder-Lewis M.C., Nelson K.M. Reliability of the Sedation-Agitation Scale between nurses and doctors. Intensive Crit Care Nurs 2008, 24:211-217.
64. Ramsay M., Savege T., Simpson B., Goodwin R. Controlled sedation with alphaxalone/alphadolone. Br Med J 1974, 2:656-659.
65. Reschreiter H., Maiden M., Kapila A. Sedation practice in the intensive care unit: A UK national survey. Crit Care 2008, 12:152-160.
66. Manjrekar A.U., Kane D., Dewoolkar L., Shroff P. Conscious sedation in interventional radiology. Internet J Anesthesiol 2008, 18:9.
67. Nascimento JdS., Modolo N.S.P., Silva R.C.R., Santos K.P., Carvalho HGd Sedative and cardiovascular effects of midazolam and diazepam alone or combined with clonidine in patients undergoing hemodynamic studies for suspected coronary artery disease. Arq Bras Cardiol 2007, 89:403-408.
68. Olson D., Lynn M., Thoyre S.M., Graffagnino C. The limited reliability of the Ramsay scale. Neurocrit Care 2007, 7:227-231.
69. van Dishoeck A.-M., van der Hooft T., Simoons M.L., van der Ent M., Scholte op Reimer W.J.M. Reliable assessment of sedation level in routine clinical practice by adding an instruction to the Ramsay Scale. Eur J Cardiovasc Nurs 2009, 8:125-128.
70. Consales G., Chelazzi C., Rinaldi S., De Gaudio A.R. Bispectral Index compared to Ramsay score for sedation monitoring in intensive care units. Minerva Anestesiol 2006, 72:329-336.
71. Hernandez-Gancedo C., Pestana D., Pena N., Royo C., Perez-Chrzanowska H., Criado A. Monitoring sedation in critically ill patients: Bispectral index, Ramsay and observer scales. Eur J Anaesthesiol 2006, 23:649-653.
72. Detriche O., Berré J., Massaut J., Vincent J.L. The Brussels sedation scale: Use of a simple clinical sedation scale can avoid excessive sedation in patients undergoing mechanical ventilation in the intensive care unit. Br J Anaesth 1999, 83:698-701.
73. O'Sullivan G., Park G. The assessment of sedation in critically ill patients. Clin Intensive Care 1990, 1:116-122.
74. Schulte-Tamburen A.M., Scheier J., Briegel J., Schwender D., Peter K. Comparison of five sedation scoring systems by means of auditory evoked potentials. Intensive Care Med 1999, 25:377-382.
75. Rassin M., Sruyah R., Kahalon A., Naveh R., Nicar I., Silner D. "Between the fixed and the changing": Examining and comparing reliability and validity of 3 sedation-agitation measuring scales. Dimens Crit Care Nurs 2007, 26:76-82.
76. Haberthur C., Lehmann F., Ritz R. Assessment of depth of midazolam sedation using objective parameters. Intensive Care Med 1996, 22:1385-1390.
77. Mondello E., Siliotti R., Noto G., et al. Bispectral index in ICU: Correlation with Ramsay score on assessment of sedation level. J Clin Monit Comput 2002, 17:271-277.
78. Hansen-Flaschen J., Cowen J., Polomano R. Beyond the Ramsay scale: Need for a validated measure of sedating drug efficacy in the intensive care unit. Crit Care Med 1994, 22:732-733.
79. Snyder C.F., Watson M.E., Jackson J.D., Cella D., Halyard M.Y. Patient-reported outcome instrument selection: Designing a measurement strategy. Value Health 2007, 10:S76-S85.
80. Plum F., Posner J. The Diagnosis of Coma and Stupor 1980, FA Davis Co., Philadelphia, PA.
81. Moller J., Wittrop M.N. Hypoxemia in the post-anesthesia unit: An observer study. Anesthesiology 1990, 73:890-895.
82. Norman G.R., Streiner D.L. Principle Component and Factor Analysis. Biostatistics, the Bare Essentials 1994, 129-142. PMPH-USA, St Louis, MO.
83. Fox D.J., Davidson N.C., Bennett D.H., et al. Safety and acceptability of implantation of internal cardioverter-defibrillators under local anesthetic and conscious sedation. Pacing Clin Electrophysiol 2007, 30:992-997.
84. Natale A., Kearney M., Brandon M., et al. Safety of nurse-administered deep sedation for defibrillator implantation in the electrophysiology laboratory. J Cardiovasc Electrophysiol 1996, 7:301-306.
85. Timperley J., Leeson P., Mitchell A., Betts T. Pacemakers and ICDs 2008, Oxford University Press, Oxford, UK.