Table 1 |
|
| The Douleur Aigüe du Nouveau-né (DAN) scale[10,20] | |
| Pain estimation | Score |
| Facial expressions | |
| Calm | 0 |
| Snivels and alternates gentle eye opening and closing | 1 |
| Intensity of eye squeeze, brow bulge, nasolabial furrow: | |
| - Mild, intermittent with return to calm* | 2 |
| - Moderate† | 3 |
| - Very pronounced, continuous‡ | 4 |
| Limb movements | |
| Calm or gentle movements | 0 |
| Intensity of pedalling, toes spread, legs tensed and pulled up, agitation of arms, withdrawal reaction: | |
| - Mild, intermittent with return to calm* | 1 |
| - Moderate† | 2 |
| - Very pronounced, continuous‡ | 3 |
| Vocal expression | |
| No complaints | 0 |
| Moans briefly (for intubated child, looks anxious or uneasy) | 1 |
| Intermittent crying (for intubated child, expression of intermittent crying) | 2 |
| Long lasting crying, continuous howl (for intubated child, expression of continuous crying) | 3 |
* Present during <1/3 of observation periods.
† Present during 1/3 to 2/3 of observation periods.
‡ Present during >2/3 of observation periods.
Modarres et al.
Modarres et al. BMC Anesthesiology 2013 13:22 doi:10.1186/1471-2253-13-22
