scholarly journals Pain Management in Burn Patients

2013 ◽  
Vol 63 (1) ◽  
pp. 149-153
Author(s):  
Rodrigo José Alencar de Castro ◽  
Plínio Cunha Leal ◽  
Rioko Kimiko Sakata
Burns ◽  
2021 ◽  
Author(s):  
Karel E.Y. Claes ◽  
Sarah Amar ◽  
Henk Hoeksema ◽  
Kornhaber Rachel ◽  
Alette de Jong ◽  
...  

2017 ◽  
Vol 5 ◽  
Author(s):  
Alice Fagin ◽  
Tina L. Palmieri

Abstract Burn patients experience anxiety and pain in the course of their injury, treatment, and recovery. Hence, treatment of anxiety and pain is paramount after burn injury. Children, in particular, pose challenges in anxiety and pain management due to their unique physiologic, psychologic, and anatomic status. Burn injuries further complicate pain management and sedation as such injuries can have effects on medication response and elimination. Burn injuries further complicate pain management and sedation as such injuries can have effects on medication response and elimination. The purpose of this review is to describe the challenges associated with management of anxiety, pain, and sedation in burned children and to describe the different options for treatment of anxiety and pain in burned children.


2017 ◽  
Vol 44 (3) ◽  
pp. 535-540 ◽  
Author(s):  
Cornelia Griggs ◽  
Jeremy Goverman ◽  
Edward A. Bittner ◽  
Benjamin Levi

Burns ◽  
2014 ◽  
Vol 40 (8) ◽  
pp. 1463-1469 ◽  
Author(s):  
Hejdi Gamst-Jensen ◽  
Pernille Nygaard Vedel ◽  
Viktoria Oline Lindberg-Larsen ◽  
Ingrid Egerod

1999 ◽  
Vol 229 (1) ◽  
pp. 115-120 ◽  
Author(s):  
W. Scott Jellish ◽  
Richard L. Gamelli ◽  
Patricia A. Furry ◽  
Victoria L. McGill ◽  
Elaine M. Fluder

2019 ◽  
Vol 40 (6) ◽  
pp. 983-995 ◽  
Author(s):  
Daniel E Kim ◽  
Kaitlin A Pruskowski ◽  
Craig R Ainsworth ◽  
Hans R Linsenbardt ◽  
Julie A Rizzo ◽  
...  

Abstract Opioids are the mainstay of pain management after burn injury. The United States currently faces an epidemic of opioid overuse and abuse, while simultaneously experiencing a nationwide shortage of intravenous narcotics. Adjunctive pain management therapies must be sought and utilized to reduce the use of opioids in burn care to prevent the long-term negative effects of these medications and to minimize the dependence on opioids for analgesia. The purpose of this review was to identify literature on adjunctive pain management therapies that have been demonstrated to reduce pain severity or opioid consumption in adult burn patients. Three databases were searched for prospective studies, randomized controlled trials, and systematic reviews that evaluated adjunctive pain management strategies published between 2008 and 2019 in adult burn patients. Forty-six studies were analyzed, including 24 randomized controlled trials, six crossover trials, and 10 systematic reviews. Various adjunctive pain management therapies showed statistically significant reduction in pain severity. Only one randomized controlled trial on music therapy for acute background pain showed a reduction in opioid use. One cohort study on hypnosis demonstrated reduced opioid use compared with historical controls. We recommend the development of individualized analgesic regimens with the incorporation of adjunctive therapies in order to improve burn pain management in the midst of an abuse crisis and concomitant national opioid shortage.


2017 ◽  
Vol 38 (6) ◽  
pp. 335-347 ◽  
Author(s):  
Omar Pardesi ◽  
Gennadiy Fuzaylov

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S268-S269
Author(s):  
Andrew m Mendelson ◽  
Yasmin Elkhashab ◽  
William Hughes ◽  
Eugene R Viscusi

Abstract Introduction Burn pain is grossly undertreated which may result in poorer outcomes including chronic pain, anxiety and persistent opioid use. Opioids are currently the mainstay of treatment with many burn patients receiving long term opioid management even in the context of the opioid crisis. We retrospectively reviewed the charts of burn patients admitted to our hospital to evaluate the impact of our multimodal pain management approach on overall opioid consumption. Methods Following IRB approval, a retrospective chart review of all patients with burn injuries over a one year period was performed. The Acute Pain Management Service was consulted for analgesic management for all patients. Patient data was collected from their electronic medical records on Epic HyperSpace and included total body surface area of burn, age and gender, length of hospital stay, amount of opioid usage throughout admission, average verbal numerical score for pain, and use of adjuvant analgesics was gathered. The amount of opioid usage was obtained from the chart and then converted to oral morphine equivalents (OME) using the CDC Prevention Conversion Chart. Results During the study period, eight patients met inclusion criteria. The average patient age was 42.5 years, with a mean of 26.8 % TBSA (Total body surface area) burn and mean length of stay of 23 days. Our pain pathway consisted of non-opioid analgesic adjuncts that were given around-the-clock with opioids used only on an as-needed basis. The nonopioid analgesics include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDS), gabapentin or pregabalin, and a ketamine infusion. Initial opioid consumption (on day of APMS consult) as well as median hospital day was compared to opioid consumption on day of discharge. Six out of eight patients showed a reduction in their oral morphine equivalent (OME) following APMS consult usage from day of admission with average 76 OME to 44.6 OME on day of discharge. Conclusions We were able to reduce patient’s opioid requirement in 6 out of 8 patients upon discharge. These findings suggest that a further more rigorous study is warranted to demonstrate the benefits of multimodal therapy in burn pain. Applicability of Research to Practice The multimodal approach to pain control for burn patients may possibly be able to reduce the overall opioid requirements and theoretically the opioid associated side effects.


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