This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
KUSS: Child Discomfort and Pain Scale according to Büttner
Observer-rated scale after surgery in non-ventilated children up to 4 completed years of age: crying, face, trunk, legs, restlessness each 0–2, pain treatment from 4 points
Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.
Frequently asked questions
KUSS: Child Discomfort and Pain Scale according to Büttner: What does this calculator compute?
The Childhood Discomfort and Pain Scale (KUSS) according to Büttner assesses pain after surgery in non-ventilated children from newborn age to the completed age of 4 years: crying, facial expression, trunk posture, leg posture and motor restlessness, each 0–2 points, observed for 15 seconds. Total 0–10; from 4 points pain therapy should begin. With reservations: points and threshold from 2 concordant reports, the original was not read.
KUSS: Child Discomfort and Pain Scale according to Büttner: Which sources is this calculator based on?
Büttner W, Finke W, Hilleke, Reckert, Vsianka, Brambrink (author list from a secondary source): Entwicklung eines Fremdbeobachtungsbogens zur Beurteilung des postoperativen Schmerzes bei Säuglingen (Anästhesiol Intensivmed 1998;33:353–361); see also Büttner W, Finke W: Analysis of behavioural and physiological parameters for the assessment of postoperative analgesic demand in newborns, infants and young children (Paediatr Anaesth 2000;10:303–318) (1998); Bächle-Helde B: Wie weh tut es? Schmerzskalen, Fig. 2 “Schmerzskala nach Büttner” (JuKiP 2013;2:164–167, doi 10.1055/s-0033-1352514) (2013); Zernikow B, Hechler T: Pain Therapy in Children and Adolescents (Dtsch Arztebl Int 2008;105:511–522), Table 1 “Childhood Discomfort and Pain (KUSS) Scale” (2008)