Sedation and Pain Management in Burn Patients

Griggs, Cornelia L.; Goverman, Jeremy; Bittner, Edward A.; Levi, Benjamin

doi:10.1016/j.cps.2017.02.026

Cited by 95 publications

(91 citation statements)

References 30 publications

(35 reference statements)

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“…Continuing the hypermetabolic treatment after a burn has resulted in significant improvements in the growth and development of children in particular. (8,9,10,11). Suggested issues to study to improve the functional results following burns include the medical, surgical approaches to prevent heterotopic ossifications due to the scars and immobilization, scar modulation with laser treatment, and skin replacements.…”

Section: Resultsmentioning

confidence: 99%

“…Although trying to prevent the development of functional disability in the joint areas is mandatory in the early stages, it requires a strong and continuous effort. It is quite difficult to differentiate the care in the acute stage from burn rehabilitation because pain, limitation of movement due to inflammation and the accompanying scar, and the long-term adverse musculoskeletal dysfunction are affected by events that mostly occur in the early period (8,9). Although pain management is a major challenge for clinicians, proper pain control is the basis for effective burn care, from the initial injury to long-term recovery (9).…”

Section: Resultsmentioning

confidence: 99%

“…It is quite difficult to differentiate the care in the acute stage from burn rehabilitation because pain, limitation of movement due to inflammation and the accompanying scar, and the long-term adverse musculoskeletal dysfunction are affected by events that mostly occur in the early period (8,9). Although pain management is a major challenge for clinicians, proper pain control is the basis for effective burn care, from the initial injury to long-term recovery (9). Studies should therefore be continued with a multidisciplinary approach to understand the pathophysiology of inflammation in burns in order to develop preventive interventions and treatments affecting the functional result.…”

Section: Resultsmentioning

confidence: 99%

“…Psychosocial interventions may be required for many years after burn injuries. Psychological and physical rehabilitation should be started and managed in an interdisciplinary manner during and after the burn period (6,7,8,9,10,11). Physiotherapy and psychiatry consultations were requested for the patients in our study.…”

Section: Resultsmentioning

confidence: 99%

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Evaluation of the Cases Hospitalized in our Burn Unit

2019

JSTR

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Aim: A burn is a physiopathological process where damage occurs in the skin and subcutaneous tissues and can affect the entire body depending on its depth and surface area and the reason causing the burn. Burns are most common in children and in the home environment according to a large number of studies. We compared the clinical and demographic features and the treatment protocols of our cases who were diagnosed with a burn in this study. Material and Methods: A total of 52 patients who presented to the Erzincan State Hospital's Burn Unit between July 2008 and June 2010 and were diagnosed with a burn were included in our study. The charts of our cases were retrospectively evaluated. The demographic findings, burn surface area and burn degree determined during the physical examination were recorded from the charts. Results The group of 52 subjects presenting to the burn unit consisted of 33 pediatric and 19 adult patients. The mean age was 18.2 years. There were 17 female and 16 male pediatric patients. The adult patients consisted of 12 females and 7 males. A first-degree burn with an area between 10% to 15% of the body surface was found in 12 of our pediatric patients and 8 of our adult patients. All the burns were hot water burns or sunburns. These subjects were prescribed medical treatment for one week and were referred to the outpatient department where the follow-up was performed. The mean duration until recovery was 7 to 10 days. A second-degree burn with a surface area between 25% and 40% was found in 15 pediatric patients and 6 adult patients. All these burns had been caused by hot water. Our cases were admitted to the burn unit and treated by dressing the wound. The mean duration until recovery was 4 to 6 weeks. The patients were discharged with full recovery and without any complications. A third-degree burn was found in 6 (18.18%) of our pediatric patients and in 4 (21.05%) of our adult patients. The patients were admitted to the burn unit and dressings alone or with debridement were used for treatment according to the burn healing status. Conclusion Burn patients should be evaluated in detail. Deepening of the burn, infection and fluid loss can be prevented by appropriate intervention in the early period. The appropriate treatment plan should be arranged and the patients who require treatment at a burn center should be referred.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Evaluation of the Cases Hospitalized in our Burn Unit

2019

JSTR

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“…3,4 Evaluasi ulang pada nyeri perlu dilakukan sesuai dengan pedoman yang sudah dibuat dan pada pengalaman penelitian sebelumnya menyatakan bahwa evaluasi ulang nyeri pada terapi nyeri dapat meningkatkan kualitas manajemen nyeri serta menurunkan respons inflamasi yang dapat merusak seluruh organ tubuh. 20 Tujuan evaluasi ulang nyeri adalah sebagai acuan bagi dokter dan perawat dalam penerapan langkah-langkah selanjutnya untuk mengidentifikasi rasa nyeri yang dirasakan pasien setelah diberikan terapi. 13 Pada pedoman yang sudah dibuat oleh tim manajemen nyeri RSUP Dr. Hasan Sadikin, evaluasi ulang nyeri dilakukan dengan interval 8 jam untuk nyeri ringan dan tidak nyeri, 2 jam untuk nyeri sedang, serta setiap jam untuk nyeri berat.…”

Section: Pembahasanunclassified

Evaluasi Kepatuhan Pelaksanaan Standar Prosedur Operasional Manajemen Nyeri pada Pasien Luka Bakar di RSUP Dr. Hasan Sadikin Bandung

Yudhanarko¹,

Suwarman²,

Aditya³

2019

jap

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Nyeri didefinisikan sebagai pengalaman sensorik dan emosional yang tidak menyenangkan terkait dengan kerusakan jaringan aktual atau potensial. Manajemen nyeri pada luka bakar merupakan bagian yang tidak terpisahkan dari terapi luka bakar. Nyeri pada luka bakar merupakan nyeri akut, penanganan yang tidak baik akan menyebabkan komplikasi, salah satunya nyeri kronik. Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung telah membuat Standar Prosedur Operasional (SPO) manajemen nyeri yang berguna untuk meningkatkan kepatuhan dalam pelaksanaan manajemen nyeri. Penelitian ini bertujuan mengevaluasi kesesuaian teknik pengkajian, tindak lanjut dan evaluasi ulang nyeri pada pasien luka bakar dengan SPO manajemen nyeri. Penelitian menggunakan metode deskriptif observasional retrospektif terhadap 99 rekam medis pasien luka bakar yang memenuhi kriteria inklusi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2018. Hasil penelitian didapatkankan bahwa pengkajian nyeri yang dilakukan sesuai dengan SPO menggunakan numeric rating scale atau Wong Baker faces pain scale ditemukan pada 99 pasien (100%). Tindak lanjut hasil pengkajian nyeri luka bakar yang dilakukan sesuai dengan SPO sebanyak 71 pasien (72%). Evaluasi ulang setelah tindak lanjut pengkajian nyeri yang sesuai SPO pada 93 pasien (94%). Simpulan, pengkajian nyeri di RSUP Dr. Hasan Sadikin Bandung sudah sesuai dengan SPO manajemen nyeri, namun tindak lanjut dan evaluasi ulang pada nyeri luka bakar belum sesuai dengan SPO manajemen nyeri.Evaluation of Compliance to Standard Operating Procedures for Pain Management in Patients with Burns in Dr. Hasan Sadikin General Hospital BandungPain is defined as an unpleasant sensory and emotional experience related to actual or potential tissue damage. Pain management for burns is an integral part of burn therapy. Pain in burns is an acute pain and poor management will lead to health complications including chronic pain. Dr. Hasan Sadikin General Hospital Bandung has made a standard operating procedure (SOP) for pain management to improve compliance to pain management standard. This study aimed to evaluate the compliance to the standards in assessment techniques, follow-up, and re-evaluation of pain in patients with burn according to the applicable pain management SOP. This was a retrospective descriptive observational study on 99 medical records of burn patients who met the inclusion criteria in Dr. Hasan Sadikin General Hospital Bandung in 2018. The results of the study revealed that the pain assessment for these patient was carried out according to the SOP which refers to the use of a numeric rating scale or Wong Baker face pain scale in 99 patients (100%). In the follow-up, 71 were performed according to the SOP (72%) while the re-evaluation was performed in compliance with the SOP in 93 patients (94%). In conclusion, pain assessment in Dr. Hasan Sadikin General Hospital Bandung is performed in accordance with SOP on pain management but not all patients receive follow-up and re-evaluation of burn pain in accordance with the SOP on pain management.

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Efficacy of Smartphone Active and Passive Virtual Reality Distraction vs Standard Care on Burn Pain Among Pediatric Patients

et al. 2021

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IMPORTANCE It is unknown whether smartphone-based virtual reality (VR) games are effective in reducing pain among pediatric patients in real-world burn clinics. OBJECTIVE To evaluate the efficacy of a smartphone VR game on dressing pain among pediatric patients with burns. DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial included children aged 6 to 17 years who seen in the outpatient clinic of a large American Burn Association-verified pediatric burn center and level I pediatric trauma center between

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Sedation and Pain Management in Burn Patients

Cited by 95 publications

References 30 publications

Evaluation of the Cases Hospitalized in our Burn Unit

Evaluation of the Cases Hospitalized in our Burn Unit

Evaluasi Kepatuhan Pelaksanaan Standar Prosedur Operasional Manajemen Nyeri pada Pasien Luka Bakar di RSUP Dr. Hasan Sadikin Bandung

Efficacy of Smartphone Active and Passive Virtual Reality Distraction vs Standard Care on Burn Pain Among Pediatric Patients

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