Sedation and Pain Management in Burn Patients

被引:85
作者
Griggs, Cornelia [1 ]
Goverman, Jeremy [2 ]
Bittner, Edward A. [3 ]
Levi, Benjamin [4 ]
机构
[1] Massachusetts Gen Hosp, Dept Surg, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Surg, Div Burn & Plast & Reconstruct Surg, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA
[4] Univ Michigan, Div Plast Surg, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
Pain management; Sedation; Burn; Anesthesia; Operative management; VIRTUAL-REALITY; PEDIATRIC BURN; GABAPENTIN; ANALGESIA; MORPHINE; INJURY; CARE;
D O I
10.1016/j.cps.2017.02.026
中图分类号
R61 [外科手术学];
学科分类号
摘要
Although pain management is a major challenge for clinicians, appropriate pain control is the foundation of efficacious burn care from initial injury to long-term recovery. The very treatments designed to treat burn wounds may inflict more pain than the initial injury itself, making it the clinician's duty to embrace a multimodal treatment approach to burn pain. Vigilant pain assessment, meaningful understanding of the pathophysiology and pharmacologic considerations across different phases of burn injury, and compassionate attention to anxiety and other psychosocial contributors to pain will enhance the clinician's ability to provide excellent pain management.
引用
收藏
页码:535 / +
页数:7
相关论文
共 31 条
  • [1] Acute and Perioperative Care of the Burn-injured Patient
    Bittner, Edward A.
    Shank, Erik
    Woodson, Lee
    Martyn, J. A. Jeevendra
    [J]. ANESTHESIOLOGY, 2015, 122 (02) : 448 - 464
  • [2] Influence of burns on pharmacokinetics and pharmacodynamics of drugs used in the care of burn patients
    Blanchet, Benoit
    Jullien, Vincent
    Vinsonneau, Christophe
    Tod, Michel
    [J]. CLINICAL PHARMACOKINETICS, 2008, 47 (10) : 635 - 654
  • [3] Predictors of re-epithelialization in pediatric burn
    Brown, Nadia J.
    Kimble, Roy M.
    Gramotnev, Galina
    Rodger, Sylvia
    Cuttle, Leila
    [J]. BURNS, 2014, 40 (04) : 751 - 758
  • [4] THE PAIN OF BURNS - CHARACTERISTICS AND CORRELATES
    CHOINIERE, M
    MELZACK, R
    RONDEAU, J
    GIRARD, N
    PAQUIN, MJ
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1989, 29 (11): : 1531 - 1539
  • [5] Stress and wound healing
    Christian, Lisa M.
    Graham, Jennifer E.
    Padgett, David A.
    Glaser, Ronald
    Kiecolt-Glaser, Janice K.
    [J]. NEUROIMMUNOMODULATION, 2006, 13 (5-6) : 337 - 346
  • [6] Cuthbertson DP, 1942, LANCET, V1, P433
  • [7] Gabapentin suppresses cutaneous hyperalgesia following heat-capsaicin sensitization
    Dirks, J
    Petersen, KL
    Rowbotham, MC
    Dahl, JB
    [J]. ANESTHESIOLOGY, 2002, 97 (01) : 102 - 107
  • [8] Practice guidelines for the management of pain
    Faucher, Lee
    Furukawa, Kenneth
    [J]. JOURNAL OF BURN CARE & RESEARCH, 2006, 27 (05) : 659 - 668
  • [9] Fishman SM, 2010, BONICAS MANAGEMENT P, P754
  • [10] Successful use of gabapentin in acute pain management following burn injury: A case series
    Gray, Paul
    Williams, Bronwyn
    Cramond, Tess
    [J]. PAIN MEDICINE, 2008, 9 (03) : 371 - 376