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The following endpoints of the study were considered: number of patients transferred to the alternative ventilatory mode because of inadequate ventilation or high Comfort scale despite maximal sedative use according to study protocol, complications of ventilation, and number and dosage of sedatives administered.
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COMFORT scale and COMFORT behaviour scale are the only validated sedation scales for mechanically ventilated children.
Derived from the COMFORT scale, the COMFORT behaviour scale (COMFORT-B) was published by Ista et al. [8].
De Jonghe et al [ 21], in a recent systematic review, observed the high reliability and satisfactory correlation with other scales achieved by the Ramsay scale and Comfort scale.
Sedatives were given in accordance with the Comfort scale (Table 1), which is a nonintrusive measure for assessing distress in pediatric intensive care patients, with high inter-rater agreement and high internal consistency [ 12].
Open image in new window Fig. 4 Comparing groups and systems on comfort (scale from −2 to 2).
The Visual Comfort Scale (VCS) [24], which comprises a visual analogue scale on a 100 mm scale, comprises (1) visual well-being and comfort and (2) glare and brightness, was administered simultaneously with the MERS.
Comfort was rated using the Bruggrmann comfort scale (BCS) [ 13].
We performed binary logistic regression of comfort with SDM (low comfort or high comfort) using independent variables with χ of <0.25.
There was no difference in comfort scale between groups receiving MgSO4 or not.
Registered parameters for adequacy of sedation were the Comfort scale and the number and dosage of sedatives.
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