Table 1 Premature infant pain profile
Indicators | 0 | 1 | 2 | 3 |
|---|---|---|---|---|
GA in weeks | ≥ 36 weeks | 32 to 35 weeks and days | 28 to 31 weeks and 6 days | < 26 weeks |
Alertness | Active | Quiet | Active | Quiet |
Awake | Awake | Sleep | Sleeping | |
Open Eyes | Open eyes | Closed eyes | Closed eyes | |
Facial movements present | No facial movements | Facial movements present | No facial movements | |
Maximal HR | ↑ 0 to 4 bpm | ↑ 5 to 14 bpm | ↑ 15 to 24 bpm | ↑ ≥25 bpm |
Minimal Saturation | ↓ 0 to 2.4% | ↓2.5 to 4.9% | ↓ 5 to 7.4% | ↓ ≥7.5% |
Frowned forehead | Absent | Minimal | Moderate | Maximal |
Eyes squeezed | Absent | Minimal | Moderate | Maximal |
Nasolabial furrow | Absent | Minimal | Moderate | Maximal |