Intubated patients, often undergoing painful procedures.
The Behavioral Pain Scale (BPS) quantifies pain using body language and patient-ventilator interactions for intubated patients.
It was developed and validated by performing non-painful procedures (i.e., a central line dressing change) and noxious procedures (i.e., endotracheal tube suctioning) and then observing response patterns.
Nonverbal patients express pain variably, making a standardized, accurate tool helpful in the evaluation of pain. Pain can be a cause of abnormal vital signs in the ICU setting, and using a quantitative tool can help confirm or refute this hypothesis.
Jean-François Payen, MD, is a professor of anesthesia resuscitation and head of the anesthesiology department at the Grenoble University Hospital in France. He is also the director of the European Committee Site of Education in Anesthesiology. Dr. Payen is an active researcher investigating traumatic brain injuries through detailed imaging and pharmacological neuroprotective mechanisms.
To view Dr. Jean-François Payen's publications, visit PubMed