Research Article

A Quantitative Examination of Extreme Facial Pain Expression in Neonates: The Primal Face of Pain across Time

Table 1

Commonly published pediatric clinical pain tools employing facial expression [3, 7, 16].

         Behavioral, Observational, or Physiological Pain Scales

BIPPBehavioral Indicators of Infant Pain
CHEOPSChildren’s Hospital of Eastern Ontario Pain Score
CHIPPSChildren’s and Infant’s Postoperative Pain Scale
CRIESCrying, Requires oxygen administration, Increased vital signs, Expression, Sleeplessness
EDINÉchelle Douleur Inconfort Nouveau-Né (neonatal pain and discomfort scale)
FLACCFace, Legs, Activity, Cry, and Consolability
NIPSNeonatal Infant Pain Scale
NPASSNeonatal Pain Agitation and Sedation Scale
PIPPPremature Infant Pain Profile

         Faces Pain Scales

FACESWong-Baker FACES Pain Rating Scale. Cartoon “happy” to “sad” depictions
FPS-RFaces Pain Scale—Revised. Symbolic line drawing representations
OUCHEROucher Scale. Photographic depictions, 3 ethnic versions