COMFORT-B Behavioral Scale (pediatric sedation)
COMFORT-B behavioral sedation scale (van Dijk 2005): alertness, calmness, respiratory response/crying, movement, muscle tone, and facial tension each 1-5.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Alertness
- 3
- Calmness / agitation
- 3
- Respiratory response or crying
- 3
- Physical movement
- 3
- Muscle tone
- 3
- Facial tension
- 3
Result: COMFORT-B 18 of 30: adequate sedation per van Dijk 2005.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- <11
- Over-sedation - consider lightening.
- 11-22
- Adequate sedation - within target band.
- >22
- Inadequate sedation / distress - assess pain and sedation needs.
What you enter
- Alertness (1-5)
- Calmness / agitation (1-5)
- Respiratory response or crying (1-5)
- Physical movement (1-5)
- Muscle tone (1-5)
- Facial tension (1-5)
How this is calculated
van Dijk M, Peters JWB, van Deventer P, Tibboel D. The COMFORT Behavior Scale: a tool for assessing pain and sedation in infants. Am J Nurs. 2005;105(1):33-36. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.