CPOT v.1

The Critical Care Pain Observation Tool (CPOT) provides a method to rate pain among critically ill patients using clinical observations alone

Syeeda S Farruque

models@cambiocds.com

© Cambio Healthcare Systems

The Critical Care Pain Observation Tool (CPOT) provides a method to rate pain among critically ill patients using clinical observations alone and is useful even with intubated or sedated patients due to using facial expressions, movement and interaction with ventilated breathing.

The total score is the sum of the individual scores, with a range of 0 to 8 and separates intubated patients from extubated patients. Management: For those patients with a CPOT score of ≤ 2: • There is likely minimal to no pain present. Consider re-evaluation in the future. For those patients with a CPOT score of >2: • There is an unacceptable level of pain. Consider further or alternative analgesia and sedation.

Do not rely on one measurement. Regular re-evaluation is crucial to appropriate pain management.

Ref. 1: Gélinas C, Fortier M, Viens C, Fillion L, Puntillo KA. Pain assessment and management in critically ill intubated patients: a retrospective study. Am J Crit Care. 2004;13:126-135.

OBSERVATION.critical_care_pain_observation_tool.v1, EVALUATION.critical_care_pain_observation_tool_assessment.v1