Management of burn pain in children

Title

Management of burn pain in children

Creator

Osgood PF; Szyfelbein SK

Publisher

Pediatric Clinics Of North America

Date

1989

Subject

Child; Humans; Analgesics; Patient Compliance; Analgesics/administration & dosage/therapeutic use; Bandages/adverse effects; Burns/complications/physiopathology; Opioid/administration & dosage/pharmacokinetics/pharmacology/therapeutic use; Pain/physiopathology/therapy

Description

In spite of the many possible methods of pain control in the burned child satisfactory pain management may still be a problem, at times formidable. The most fruitful approach would seem to be frequent assessment of pain in the individual patient with a readiness to try alternative or additional measures when relief seems inadequate. In this way the most effective analgesic agent(s), route(s), and frequency of administration, as well as nonpharmacologic methods, can be determined for each child. Among those able to speak, pain estimation is usually easily accomplished. In infants and those intubated for supported ventilation, however, the task is more difficult. Nevertheless, careful observation of physiologic signs such as heart rate and blood pressure, facial expressions, body movement and position, and the quality of an infant's cries may in sum be sufficient to evaluate the intensity of pain. Monitoring of analgesic plasma levels to ascertain that they are within the ranges established for good analgesia and even determination of beta-endorphin blood levels may also aid in judging the adequacy of analgesia. By tailoring pain management methods to the needs of each child it may be possible to keep pain at acceptable levels in victims of burn injury.
1989

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

1001-1013

Issue

4

Volume

36

Citation

Osgood PF; Szyfelbein SK, “Management of burn pain in children,” Pediatric Palliative Care Library, accessed August 2, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12525.

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