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Table 5 Brainstem Reflexes Assessment Sedation Scale (BRASS)

From: Brainstem dysfunction in critically ill patients

Variable

Score point

Absence of cough reflex

1

Absence of pupillary light reflex

1

Absence of corneal reflex

2

Absence of grimacing to pain and absence of OCR

1

Absence of grimacing to pain and presence of OCR

3

  1. OCR: oculocephalic reflex
  2. BRASS is a clinical score that has been developed for scoring brainstem dysfunction in deeply sedated, non-brain-injured, mechanically ventilated, critically ill patients and ranges from 0 to 7
  3. The BRASS has prognostic value, as 28-day mortality proportionally increases with the BRASS score