214 Effect of a Bundled Approach on Procedural Pain Management in Burn Patients

2019 ◽  
Vol 40 (Supplement_1) ◽  
pp. S87-S87
Author(s):  
S Young ◽  
E Louie ◽  
J Duby ◽  
T Palmieri
Keyword(s):  
Pain Management ◽  
Procedural Pain ◽  
Burn Patients

Nonpharmacologic Management of Procedural Pain in Pediatric Burn Patients: A Systematic Review of Randomized Controlled Trials

2021 ◽  
Author(s):  
Matthew Gillum ◽  
Samantha Huang ◽  
Yuki Kuromaru ◽  
Justin Dang ◽  
Haig A Yenikomshian ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Randomized Controlled Trials ◽  
Burn Injury ◽  
Pediatric Population ◽  
Procedural Pain ◽  
Controlled Trials ◽  
Burn Patients ◽  
Randomized Controlled ◽  
Effective Adjunct

Abstract Pain following burn injury is associated with long-term health consequences in the pediatric population. Literature suggests nonpharmacologic treatment may provide improved pain control as an effective adjunct for these patients. This study aims to summarize randomized controlled trials on nonpharmacologic procedural pain management in pediatric burn patients. A systematic review was conducted on nonpharmacologic procedural pain management techniques used in the pediatric burn population. Fifteen studies were included and involved virtual reality, distraction devices, child life therapy, directed play, digital tablet games, cartoons, hypnosis, and music therapy. Treatment was effective in 8 out of 15 studies. Compared to controls, nonpharmacologic treatments reduced mid procedure pain by 19.7% and post procedure pain by 20.1%. This study demonstrates nonpharmacologic therapy can be an effective adjunct in pediatric procedural burn pain management, however further studies are needed to develop standardized algorithms to integrate nonpharmacologic treatments with pharmacologic therapies.

scholarly journals Designing effective virtual reality environments for pain management in burn-injured patients

2021 ◽  
Author(s):  
Ivan Phelan ◽  
Penny J Furness ◽  
Maria Matsangidou ◽  
Nathan T. Babiker ◽  
Orla Fehily ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Pain Management ◽  
Pain Treatment ◽  
Hospital Setting ◽  
Cold Pressor ◽  
Procedural Pain ◽  
Burn Patients ◽  
Virtual Reality System ◽  
Wound Debridement ◽  
Injured Patients

AbstractBurn patients engage in repetitive painful therapeutic treatments, such as wound debridement, dressing changes, and other medical processes high in procedural pain. Pharmacological analgesics have been used for managing pain, but with ineffective results and negative side effects. Studies on pain management for burn patients suggested that Virtual Reality can treat procedural pain. This paper describes the process of designing, testing, and deploying a Virtual Reality system into a hospital setting. Firstly, a workshop was conducted to identify the most suitable types of Virtual Reality contents for the needs of burn-injured patients. Then, an experimental study, with 15 healthy adults, explored the analgesic impact of the Virtual Reality contents. The pain was induced through a cold pressor. Finally, we deployed the Virtual Reality system into the hospital to examine its efficiency on burn-injured inpatients. This study presents factors for the effective design and deployment of Virtual Reality for burn-injured patients residing in a hospital. Those factors refer to the use of cartoonish features and a choice of content based on each patient’s interests to increase the positive emotions and the use of interactive features, portable equipment to reduce pain and increase the feasibility of the technology in clinical settings. Finally, our results indicated that the extension of the VR use after the therapeutic session could support more effective pain treatment.Trial registration number Protocol ID: AA8434.

Pain management during a bromelain-based selective enzymatic debridement in paediatric and adult burn patients

Burns ◽  
2021 ◽  
Author(s):  
Karel E.Y. Claes ◽  
Sarah Amar ◽  
Henk Hoeksema ◽  
Kornhaber Rachel ◽  
Alette de Jong ◽  
...  
Keyword(s):  
Pain Management ◽  
Burn Patients ◽  
Enzymatic Debridement

scholarly journals Using of Distraction Methods on Procedural Pain Management of Pediatric Patients

2015 ◽  
Vol 13 (2) ◽  
pp. 116-121
Author(s):  
Sevil İnal ◽  
Nejla Canbulat
Keyword(s):  
Pain Management ◽  
Pediatric Patients ◽  
Procedural Pain

scholarly journals Pain and anxiety experiences of South African adult burn injury patients during physiotherapy management

2010 ◽  
Vol 66 (1) ◽  
Author(s):  
L.D. Morris ◽  
Q.A. Louw
Keyword(s):  
Pain Management ◽  
Side Effects ◽  
South African ◽  
Functional Outcomes ◽  
Burn Injury ◽  
Current Situation ◽  
Procedural Pain ◽  
Short Report ◽  
Burn Unit ◽  
Effective Adjunct

A dequate management of procedural pain during physiotherapy management plays an important role in building a trusting relationship betweenthe burn victim and the physiotherapist, and in ensuring desirable functional outcomes. However, the burn pain management regimens currently utilized inburn units, primarily consist of traditional pharmacologic analgesics which areassociated with numerous side-effects and alone are often reported as inadequateto alleviate procedural pain, warranting safer and effective adjunct therapies.Prior to the introduction and implementation of adjunct therapies into a developing world, it is imperative that the current situation in a burn unit, in terms of whether or not the pain management regimens in place are adequate, is first assessed, due to cost concerns. The following short report exemplifies the pain and anxiety experiences of a small number of burn injury patients during physiotherapy at the Tygerberg Hospital adult burn unit, South A frica.  It was hypothesized that the results of this study would underpin whether adult burn injury patients in a developing countryrequire adjunct therapies during physiotherapy management to supplement traditional pharmacologic analgesics inmanaging their procedural pain and subsequent anxiety.

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