|
Behavioral Pain Scale |
||
| Item |
Description |
Score |
|
|
||
| Facial expression |
Relaxed |
1 |
| Partially tightened (for example, brow lowering) |
2 |
|
| Fully tightened (for example, eyelid closing) |
3 |
|
| Grimacing |
4 |
|
| Upper limbs |
No movement |
1 |
| Partially bent |
2 |
|
| Fully bent with finger flexion |
3 |
|
| Permanently retracted |
4 |
|
| Compliance with ventilation |
Tolerating movement |
1 |
| Coughing but tolerating ventilation for most of the time |
2 |
|
| Fighting ventilator |
3 |
|
| Unable to control ventilation |
4 |
|
|
Scores from each of the three domains are summed, with a total score of 3 to 12 [15]. | ||
Sessler et al. Critical Care 2008 12(Suppl 3):S2 doi:10.1186/cc6148 |
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