Tratamento da dor em queimados

Abstract

Background and objectives: Despite advances, inappropriate analgesic treatment for burn patients is still seen. The objective of this review was to collect data on pain management in burn patients. Content:We reviewed the mechanisms of pain, burn patient assessment, as well as pharmacological and non-pharmacological treatment. Conclusion: Pain management in burn patients is still a challenge for the multidisciplinary team. Frequent and continuous evaluation of the patient's response is very important due to the various stages that the hospitalized burn patient goes through, as well as a combination therapy with analgesic and non-pharmacological measures. Understanding the complexity of the pathophysiological, psychological, and biochemical changes a burn patient presents is the fi rst step to achieve success in analgesic management.

Atendimento inicial às queimaduras de mão: revisão da literatura

“…Em geral, uma incisão por dedo é suficiente. Caso esse procedimento seja realizado de forma tardia, pode haver problemas circulatórios, lesões nervosas, necrose muscular e perda funcional [2,15,16].…”

“…Portanto, além das consequências diretas do trauma de queimadura sobre a mão, existe uma chance aumentada de aprisionamento dos nervos das mãos, especialmente do nervo mediano no túnel do carpo, em decorrência do edema excessivo [1,2,19,20]. [1,16].…”

Is Music Effective For Pain Relief In Burn Victims?

“…Pain is an unpleasant experience associated with actual or potential tissue damage [1] and it is a frequent symptom in burn victims [2][3][4]. In this case, the pain originates from the tissue damage itself, from the subsequent inflammatory process [2][3] and procedures for the treatment of wounds [4][5][6][7][8].…”

“…In this case, the pain originates from the tissue damage itself, from the subsequent inflammatory process [2][3] and procedures for the treatment of wounds [4][5][6][7][8]. So, dressing changes are important sources of pain and are considered the most painful time of treatment [4][5]8].…”

“…Mismanagement of pain decreases treatment adherence and trust in the health team, in addition to increasing the perception of pain, incidence of chronic pain [2][3][4]10], depression and suicide ideas [3,11].…”