The Richmond Agitation-Sedation Scale (RASS) ranks agitation and possibility for sedation.
Use the Richmond agitation-sedation scale (RASS) instead of CIWA-Ar in alcohol withdrawal patients who cannot talk, e.g. patients who are intubated in the ICU.
Shoot for a score of 0 to -2 when using the RASS to manage alcohol withdrawal patients who cannot talk.