A simultaneous comparison of four neonatal pain scales in clinical settings

Abstract

DAN is a pain scale convenient for the use in clinical settings, especially if a fine distinction of magnitude of the present pain is not needed, whereas PIPP can be used if adequate equipment is available.

Validation of the Persian Version of Premature Infant Pain Profile-Revised in Hospitalized Infants at the Neonatal Intensive Care Units

“…The present study showed that since the PIPP is more accurate in the assessment of more intense pains than low-intensity pains, it can detect subtle differences in the quantity and quality of pain. In addition, since PIPP is a combination of behavioral, physiological and contextual indicators, it is a valuable tool in premature infants' pain assessment (14).…”

“…They are divided into two types of uni-dimensional and multidimensional tools. The former measures only one aspect of pain that is the infants' behavioral responses, and the latter assesses behavioral and physiological responses simultaneously in combination with other contextual factors (14).…”

Palliative care for extremely premature infants and their families

“…Facial grimacing is a key component of most infant pain scales; elevations in heart rate and blood pressure may be more accurate when facial movements are decreased by sedation. Spasojevic and Bregun-Doronjski recently compared feasibility and variability among four commonly used pain scales; the authors found significant individual and overall variability among scales, with the DAN (Douleur aigu€ e du Nouveau-n e) having the least variability and the greatest ease of administration [Spasojevic and Bregun-Doronjski, 2010]. Whichever scale is used, staff training to use the scale and respond to it is key.…”

Sedation in the Neonatal Intensive Care Unit: International Practice

“…The Modified Behavioral Pain Scale (MBPS) has also been frequently used to assess pain expression in young infants [24]. Table 15.1 provides an overview of the variables included in these specific pain scores [22][23][24][25][26][27][28][29][30].…”

“…Pain assessment tools that quantify pain-related behavior include but are not limited to muscle tone, facial expression, position of the eyebrows and mouth, crying, muscular activity, or consolability. Table 15.1 provides a list of commonly used multidimensional pain scales in neonates [22][23][24][25][26][27][28][29][30]. (Refer to Chaps.…”