Table 1.

Pediatric Intensity Level of Therapy scale

Variable	Score	Maximum Possible Score
General—occurring at any time in 24-hr period		4
Treatment of fever (temperature of °38.5°C) or spontaneous temperature of °34.5°C	1
Sedation (e.g., narcotics, benzodiazepines: any dose)	1
Neuromuscular blockade	2
Ventilation—most frequently observed PaCO2 in 24-hr period		4
Intubated/normal ventilation (PaCO2 of 35.1–40 mm Hg)	1
Mild hyperventilation (PaCO2 of 32–35 mm Hg)	2
Aggressive hyperventilation (PaCO2 of <32 mm Hg)	4
Osmolar therapy—total dose in 24-hr period		6
Mannitol, ≤1 g/kg	1
Mannitol, 1.1–2 g/kg	2
Mannitol, >2 g/kg	3
or
Hypertonic saline (any dose or rate, regardless of serum [Na])	3
CSF drainage—number of times in 24-hr period		3
0–11 times	1
12–23 times	2
≥24 times or continuous	3
Barbiturates—total dose in 24-hr period		4
Pentobarbital, ≤36 mg/kg	3
Pentobarbital, >36 mg/kg	4
Surgery—at any time in 24-hr period		9
Evacuation of hematoma	4
Decompressive craniectomy	5
Other—at any time during 24-hr period		8
Induced hypothermia
Mild (≥35° to 37°C)	2
Moderate (°35°C)	4
Lumbar drain	2
Induced hypertension (≥95th percentile for age)	2

Total possible score 38

CSF, cerebrospinal fluid.