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Behavioral Pain Scale (BPS) for Pain Assessment in Intubated Patients

Observational pain scale for sedated, mechanically ventilated patients unable to self-report.

Behavioral Pain Scale (BPS) for Pain Assessment in Intubated Patients
Facial expression
Upper limb movements
Compliance with mechanical ventilation
Result3 points

Score <=5, pain unlikely to be significant.

When to use

  • Assessing pain in critically ill, sedated, and mechanically ventilated patients who cannot self-report.

Formula

Sum of 3 domains (facial expression, upper limb movement, ventilator compliance), each 1-4. Range 3-12; score >5 indicates significant pain.

References

  1. Payen JF, et al. Crit Care Med. 2001;29(12):2258-63.