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Assessment of neonatal pain: uni- and multidimensional evaluation scales

Zi Zeng
Zi Zeng
   | 09 paź 2022
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Article Category: Review
Data publikacji: 09 paź 2022
Zakres stron: 247 - 254
Otrzymano: 17 kwi 2022
Przyjęty: 22 cze 2022
DOI: https://doi.org/10.2478/fon-2022-0030
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© 2022 Zi Zeng, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Summary of neonatal pain assessment scales.

Assessment tool Physiological indications Behavioral indications Gestational age tested Threshold value Types of pain tested
PIPP/PIPP-R Scale HR and oxygen saturation Brow bulge, eye squeeze, and nasolabial furrow PIPP is suitable for 28–40 weeks of gestational age;PIPP-R is suitable for gestational age for 25–41 weeks Score: 0–18 (full-term);0–21 (preterm).≥7 points indicate pain;>12 points indicate moderate to severe pain Procedural painPostoperative pain
N-PASS Scale HR, RR, BP, and SaO2 Crying/irritability, behavior state, facial expression, and extremity tone Preterm and term infants Score: 0–10.>3 points indicate pain;−10 to −5 indicate deep sedation;−5 to −2 denote mild sedation Acute pain, prolonged pain, and sedation
NFCS None Brow bulge, eye squeeze, nasolabial furrow, open lips, stretch mouth (vertical), stretch mouth (horizontal), lip purse, taut tongue, and chin quiver Preterm and term infants Score: 0–9 (full-term);0–10 (preterm).>3 points indicate pain Procedural pain
EDIN Scale None Facial activity, body movements, quality of sleep, quality of contact with nurses, and consolability Preterm infants of gestational age 25–36 weeks Score: 0–15.≥7 points indicate pain Prolonged pain
CRIES Scale Increased Vital Signs (HR and BP), oxygen saturation Crying, facial expression, sleeplessness Term infants and preterm infants of gestational age ≥32 weeks Score: 0–10.≥4 points indicate pain Postoperative pain
COMFORT neo Scale None Alertness, calmness/agitation, respiratory response (in mechanically ventilated children), crying (in spontaneously breathing children), body movement, facial tension, and (body) muscle tone (observation only) Preterm infants Score: 6–30.≥14 indicate pain;≤8 indicates the risk of excessive sedation Prolonged pain
COVERS Scale HR, BP, respiration, and oxygen requirement Crying, expression, resting, and signaling distress Preterm and term infants Scale: 0–12.≥7 points indicate pain Procedural pain
PAIN Scale O2 required for Sat >95%, HR, and breathing pattern Facial expression, cry, extremity movement, and state of arousal Preterm and term infants (gestational age with 26–47 weeks) Score: 0–10.≥4 points indicate pain Postoperative pain and procedural pain
NIPS Scale Breathing patterns Facial expression, cry, arms, legs, and state of arousal Preterm and term infants (gestational age with 26–47 weeks) Score: 0–7.≥4 points indicate pain Procedural pain
eISSN:
2544-8994
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing
Kanał RSS czasopisma