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    Patent Pending

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

    Quantifies pain in intubated patients.
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    INSTRUCTIONS

    One can also use the Nonverbal Pain Scale (NVPS) for Nonverbal Patients as an alternative to the BPS.
    When to Use
    Pearls/Pitfalls
    Why Use

    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.

    Relaxed
    +1
    Partially tightened (e.g., brow lowering)
    +2
    Fully tightened (e.g., eyelid closing)
    +3
    Grimacing
    +4
    No movement
    +1
    Partially bent
    +2
    Fully bent with finger flexion
    +3
    Permanently retracted
    +4
    Tolerating movement
    +1
    Coughing but tolerating ventilation for most of the time
    +2
    Fighting ventilator
    +3
    Unable to control ventilation
    +4

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    The BPS is a useful tool to assess pain in intubated patients.

    Critical Actions

    The BPS requires attentive clinical observation and examination.

    About the Creator
    Dr. Jean-François Payen
    Are you Dr. Jean-François Payen?