Principles of Burn Pain Management

被引：54
作者：
James, Dominika Lipowska [1 ]
Jowza, Maryam [1 ]
机构：
[1] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC USA
来源：
CLINICS IN PLASTIC SURGERY | 2017年 / 44卷 / 04期
关键词：
Pain burn pathophysiology; Adjuvant pain medications; Alternative pain therapy; Opioid-based analgesia; Opioid tolerance; Opioid-induced hyperalgesia; Multimodal analgesia; Patient-controlled analgesia; RANDOMIZED CONTROLLED-TRIALS; PATIENT-CONTROLLED ANALGESIA; OPIOID-INDUCED HYPERALGESIA; PERIPHERAL-NERVE BLOCKS; DOUBLE-BLIND; DRESSING CHANGES; PERSISTENT PAIN; METHADONE; METAANALYSIS; INFUSION;
D O I：
10.1016/j.cps.2017.05.005
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
This article describes pathophysiology of burn injury related pain and the basic principles of burn pain management. The focus is on concepts of perioperative and periprocedural pain management with extensive discussion of opioid-based analgesia, including patient-controlled analgesia, challenges of effective opioid therapy in opioid-tolerant patients, and opioid-induced hyperalgesia. The principles of multimodal pain management are discussed, including the importance of psychological counseling, perioperative interventional pain procedures, and alternative pain management options. A brief synopsis of the principles of outpatient pain management is provided.
引用
收藏
页码：737 / +
页数：12
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