The FLACC (Merkel al., 1997) assesses consolability by simplifying it into 3 possible outcomes: (1) content and relaxed, (2) reassured by occasional touching, hugging, or being talked to, distractible, (3) difficult to console or comfort. The psychometric properties of FLACC were assessed in a population of critically ill adults (n = 29) and children (n = 8, of which 3 were ventilated). Consolability was found to correlate well with the other items on the scale and contribute significantly to the variance in FLACC scores (Voepel-Lewis et al., 2010). This study needs to be replicated in a larger population of critically ill ventilated children before consolability can reliably be employed as a construct for pain assessment in children. More information is needed to determine if it can be simplified and still be used to assess pain in critically ill ventilated children where parental participation in care may be limited