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Table 6. State Behavioral Score (SBS)
- Score 3 DescriptionUnresponsive^ DefinitionNo spontaneous respiratory effort^
No cough or coughs only with suctioningNo response to noxious stimuli - 2 Responsive to noxious Does not move^
stimuli Spontaneous yet supported breathingCoughs with suctioningResponds to noxious stimuli - 1 Responsive to gentle Occasional movement of extremities or shifting of position^
touch or voice SpoCoughs with suctioning/repositioningResponds to touch/voicentaneous but ineffective non supported breaths
Able to pay attention but drifts off after stimulationDistresses with procedures
Able to calm with comforting touch or voice when stimulus is removed
0 Awake and able to calm Spontaneous and effective breathingCoughs when repositioned/occasional spontaneous cough (^)
Responds to voice/no external stimulus is required to elicit response
Spontaneously pays attention to care providerAble to calm with comforting touch or voice when stimulus
+1 Restless and difficult to removed^
calm Spontaneous effective breathing/having difficulty breathing with ventilatorResponds to voice/no external stimulus is required to elicit
responseIntermittently unsafe (^)
Does notRestless, squirming consistently calm despite 5 minute attempt
+2 Agitated May have difficulty breathing with ventilatorCoughing spontaneously
No external stimulus required to elicit responseSpontaneously pays attention to care provider
Unsafe (biting Unable to consoleETT, pulling at lines)
Increased movement (restless, squirming, or thrashing side to side, kicking legs)
(^) Curley MA, Harris SK, Fraser KA, et al. State Behavioral Scale (SBS) A sedation assessment instrument
for infants and young childre7(2): 107-114. n supported on mechanical ventilation. Pediatric Critical Care Med. 2006.
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