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Table 1 Behavioral Pain Scale

From: Evaluating and monitoring analgesia and sedation in the intensive care unit

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

  1. Scores from each of the three domains are summed, with a total score of 3 to 12 [15].