SBS (State Behavioral Scale, pediatric ICU)

State Behavioral Scale (Curley 2006): a single level -3 (unresponsive) to +2 (agitated); -1 and 0 are the target band, -2/-3 are deeper than target, +1/+2 are inadequate sedation / distress.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

SBS level
0

Result: SBS 0 (awake and able to calm): target sedation per Curley 2006.

The tool opens with these values already filled in. Replace them with your own.

What the result means

-3 / -2
Deeper than target sedation - consider lightening.
-1 / 0
Target sedation in most PICU protocols.
+1 / +2
Inadequate sedation or active distress - assess pain and sedation needs.

What you enter

  • SBS level (-3 to +2)
How this is calculated

Curley MAQ, Harris SK, Fraser KA, Johnson RA, Arnold JH. State Behavioral Scale (SBS): a sedation assessment instrument for infants and young children supported on mechanical ventilation. Pediatr Crit Care Med. 2006;7(2):107-114. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.