Cravero et al reported the Pediatric Sedation State Scale (PSSS) to describe the status of a pediatric patient undergoing sedation. The authrs are from Boston Children's Hospital, Columbia University and Mahidol University (Bangkok).
Patient selection: 1 to 20 years of age
Status
Intervention
Vocalization
State
movement that impedes the procedure
forceful immobilization
may or may not be crying and/or shouting
5
movement
gentle immobilization
may vocalize some discomfort or stress
4
none or minor
restraint not required
expression of pain or anxiety on face
3
quiet (awake or asleep), no movement
restraint not required
no expression of pain or anxiety on face
2
deeply asleep with normal vital signs
some intervention to maintain airway
NA
1
deeply asleep with abnormal vital signs
requires acute intervention for hypoxemia, hypotension, bradycardia, etc.
NA
0
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