Schieveld et al developed the Pediatric Anesthesia Emergence Delirium (PAED) for evaluating pediatring patients for delirium in the pediatric ICU. The authors are Maastricht University in The Netherlands.
Patient selection: pediatric patient who is alert or responds to verbal stimulus, as determined by the Richmond Agitation-Sedation Scale (RASS)
Parameters:
(1) eye contact with caregiver
(2) purposeful actions
(3) awareness of surroundings
(4) restlessness
(5) inconsolable
|
Parameter |
Finding |
Points |
|
eye contact |
extreme |
0 |
|
|
very much |
1 |
|
|
quite a bit |
2 |
|
|
just a little |
3 |
|
|
not at all |
4 |
|
purposeful action |
extreme |
0 |
|
|
very much |
1 |
|
|
quite a bit |
2 |
|
|
just a little |
3 |
|
|
not at all |
4 |
|
awareness of surroundings |
extreme |
0 |
|
|
very much |
1 |
|
|
quite a bit |
2 |
|
|
just a little |
3 |
|
|
not at all |
4 |
|
restlessness |
not at all |
0 |
|
|
just a little |
1 |
|
|
quite a bit |
2 |
|
|
very much |
3 |
|
|
extreme |
4 |
|
inconsolable |
not at all |
0 |
|
|
just a little |
1 |
|
|
quite a bit |
2 |
|
|
very much |
3 |
|
|
extreme |
4 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 20
• The higher the score the greater the likelihood of delirium.
|
Total Score |
Interpretation |
|
0 to 6 |
no delirium |
|
7 to 9 |
re-evaluate in 1 hour |
|
>= 10 |
delirium |
Specialty: Neurology
