Hannallah's Objective Pain
Score Observation Criteria Points [+ or -] 10% preoperative 0 Blood Pressure > 20% preoperative 1 > 30% preoperative 2 Not Crying 0 Crying Crying, but responds to 1 Tender Loving Care (TLC) Crying and does not respond to TLC 2 None 0 Movement Restless 1 Thrashing 2 Patient asleep or calm 0 Agitation Mild 1 Hysterical 2 No special posture 0 Posture Flexing legs and thighs 1 Holding scrotum/groin or operated site 2 Complaint of Asleep or states no pain 0 pain (> 5 years) Cannot localise 1 Can localise 2
The consistent reference to challenging pain assessment in pediatric patients with TBI may indicate a need for more standardized and objective pain
assessments through improvement of assessment tools.
Pain score was assessed by Objective pain
scale score (OPS) using; Blood pressure, Crying, Movements, Agitation, and Verbalization of pain (Table 1).
Postoperative analgesia, sedation and motor block were evaluated with modified objective pain
scale, three-point scale and modified Bromage scale respectively.