Eat sleep console calculator
Functional assessment for neonatal opioid withdrawal using three bedside criteria.
Clinical disclaimer
At least 1 oz per feed (30 mL) or breastfeeding well.
Sleeps for 1 hour or more between feeds.
Consoled within 10 minutes with standard soothing.
Low-stimulation environment, swaddling, skin-to-skin, and feeding support.
ESC overview
ESC focuses on whether the infant can eat, sleep, and be consoled rather than tallying multiple withdrawal signs. It prioritizes non-pharmacologic care and family-centered support.
- Eat: at least 1 oz per feed (30 mL) or breastfeeding well.
- Sleep: at least 1 hour between feeds.
- Console: can be calmed within 10 minutes.
Interpretation and next steps
- If all three criteria are met, continue non-pharmacologic care and routine scoring.
- If criteria are not met, optimize non-pharmacologic care first and reassess.
- Persistent failure after optimization may prompt escalation or PRN medication per protocol.
Compare with
- Finnegan NAS score: use when your local protocol still depends on symptom-point scoring and serial thresholds.
- Neonatal calculators hub: use when withdrawal assessment needs feeding, glucose, maturity, or jaundice context nearby.
Related calculators
References
Frequently asked questions
ESC is a functional assessment for neonatal opioid withdrawal that focuses on whether the infant can eat, sleep, and be consoled rather than scoring every symptom.
The infant should be able to eat at least 1 oz per feed (or breastfeed well), sleep for at least 1 hour, and be consoled within 10 minutes with standard soothing.
Optimize non-pharmacologic care first, then reassess. Persistent failure after optimization may prompt escalation or pharmacologic therapy per local protocol.
No. ESC is a decision-support framework; always use local NAS guidelines and clinical assessment.