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Table 1 The FLACC pain scale (Merkel et al., 1997)

From: Effect of caudal dexmedetomidine versus ketamine in prevention of emergence delirium in pediatric patients undergoing congenital inguinal hernia repair under sevoflurane anesthesia

Categories

Scoring

 

0

1

2

Face

Smile or no particular expression

Occasional grimace or frown, withdrawn, disinterested

Frequent to constant frown, clenched jaw, quivering chin

Legs

Normal position or relaxed

Uneasy, restless, tense

Kicking or legs drawn up

Activity

Lying quietly, normal position, moves easily

Squirming, shifting back and forth, tense

Arched, rigid, or jerking

Cry

No cry (awake or asleep)

Moans or whimpers occasional complaint

Crying steadily screams or sobs, frequent complaints

Consolability

Content, relaxed

Reassured by occasional touching, hugging, or talking to, distractable

Difficult to console