ECMO-/ECLS

(^)
(^)
Table 8. PIPP Pain Assessment Tool
Process Indicator Description Score
Chart Gestational age^0 1 - – 32 36 weeks or more-35 weeks
(^2 3) - – less than 28 weeks 28 - 31 weeks (^)
(^) Observe infant
for 15 seconds
(^) Behavioral state 0 – active, awake, eyes open, facial movement
1 2 – – quiet awake,eyes open,no facial movementsactive sleep, eyes closed, facial movements
3 – quiet sleep, eyes closed, no facial movements
(^) Observe
baseline HR & oxygen sat for
30 seconds
(^) Heart rate
maximum
(^0) – 0 beats per minute increase
2 1 – – 515 - 15 beats per minute increase-24 beats per minute increase^
3 – 25 beats per minute increase
(^) Oxygen sat
maximum
(^0) – 92 - 100%
2 1 – – 8985 - -91%88%^
3 – <85%
Observe infant’s facial actions for
30 seconds
(^) Brow bulge 0 – none
1 2 – – minimummoderate (^)
3 – maximum
(^) Eye squeeze 0 – none
1 2 – – minimummoderate (^)
3 – maximum
(^) Naso-labial
furrow
(^0) – none
1 2 – – minimummoderate (^)
3 – maximum
(^) Total Score: 0-6 minimal to no pain; 7-12 slight to moderate pain; >12 severe pain
(^) Stevens B, Johnston C, Petryshen P, Taddio A. Premature infant pain profile: development and initial
validation. Clinical Journal of Pain. 1996. 12(1): 13 - 22.