Surgery Book


Critical Care Pain Observation Tool

Aka: Critical Care Pain Observation Tool, CPOT
  1. See Also
    1. Sedation and Analgesia in Ventilated Patients
    2. Procedural Sedation and Analgesia
  2. Indications
    1. Mechanical Ventilation
    2. Sedation and Analgesia in Ventilated Patients
  3. Criteria
    1. Facial Expression
      1. Score 0: Relaxed or neutral
      2. Score 1: Tense
      3. Score 2: Grimace
    2. Body Movements
      1. Score 0: Absent movements
      2. Score 1: Protective body movements
      3. Score 2: Restless
    3. Muscle Tension
      1. Score 0: Relaxed
      2. Score 1: Tense and rigid tone
      3. Score 2: Very tense and rigid tone
    4. Vocalization (extubated patients) or Ventilator Compliance (intubated patients)
      1. Score 0: No sound or speaking in normal tone, or tolerating Ventilator and movement
      2. Score 1: Sighs and moans, or tolerating Ventilator but coughing, and alarms stop spontaneously
      3. Score 2: Cries and sobs, or fighting Ventilator
  4. Interpretation: Total Score (0 to 8)
    1. Score <=2
      1. Adequate pain control
    2. Score >2
      1. Inadequate pain control
      2. Increase analgesia or sedation
        1. See Sedation and Analgesia in Ventilated Patients
  5. References
    1. Gelinas (2004) Am J Crit Care 13(2):126-35 +PMID:15043240 [PubMed]

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