State Behavioral Scale is a sedation assessment instrument for infants
and children on mechanical ventilation, which is a description of
sedation-agitation continuum as measured by response to voice, gentle
touch, and noxious stimuli. (Table 6)
Range from -3 to +2
C. FLACC [20,21]^
Face, Legs, Activity, Cry, Consolability behavior and pain assessment
scale validated for infants >34 weeks (table 7)
Pain scores 0- 10
o mild 0-3; moderate 4-6; severe 7- 10
D. PIPP [21,22]^
Premature Infant Pain Profile pain assessment tool validated for
premature infants <34 weeks. (Table 8)
Pain score 0-21.
o None to minimal pain 0-6; slight to moderate 7-12; severe
12
IX. Weaning [3,13]