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| Ramsay Sedation Scale (RSS) [11] |
|
| Score | Description |
| 1 | Patient is anxious and agitated or restless or both. |
| 2 | Patient is cooperative, oriented, and tranquil. |
| 3 | Patient responds to command only. |
| 4 | Patient exhibits brisk response to light glabellar tap. |
| 5 | Patient exhibits sluggish response to light glabellar tap |
| 6 | Patient exhibits no response. |
|
| Ramsay sedation score “1” was considered as unsatisfactory and “≥2” was considered as satisfactory sedation. |
|
| Parental separation anxiety scale (PSAS) [12–14] |
|
| Score | Description |
| 1 | Child separates easily |
| 2 | Child whimpers, but easily assured |
| 3 | Crying and cannot or is difficult to be assured |
| 4 | Crying and clinging to parents |
|
| A score of 1-2 was considered “satisfactory separation” and a score of 3-4 was considered “unsatisfactory separation.” |
|
| Mask acceptance scale (MAS) [14, 15] |
|
| Score | Description |
| 1 | Unafraid, cooperative, accepting mask readily |
| 2 | Slight fear of mask, easily reassured |
| 3 | Moderate fear of mask |
| 4 | Terrified, crying, or combative |
|
| A score of 1-2 was considered “satisfactory” and a score of 3-4 was considered “unsatisfactory” |
|
| Pediatric emergence delirium scale (PAEDS) [16, 17]. |
|
| (1) The child makes eye contact with the caregiver |
| (2) The child’s actions are purposeful |
| (3) The child is aware of his or her surroundings |
| (4) The child is restless |
| (5) The child is inconsolable |
|
| Items 1, 2, and 3 are reversely scored as follows: 4 = not at all, 3 = just a little, 2 = quite a bit, 1 = very much, and 0 = extremely. Items 4 and 5 are scored as follows: 0 = not at all, 1 = just a little, 2 = quite a bit, 3 = very much, and 4 = extremely. The scores of each item are summed to obtain a total PAEDS score. ED increases directly with the total score. A score ≥10 was considered as presence of emergence delirium. |
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