The Management of Burn Pain in a Pediatric Burns-Specialist Hospital

Storey, Kristen; Kimble, Roy; Holbert, Maleea

doi:10.1007/s40272-020-00434-y

Cited by 4 publications

(1 citation statement)

References 72 publications

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“…This possibility is highlighted by their significant difference in TTRE. Evidence implies that effective pain and stress management enhances the process of pediatric burn reepithelialization and high pain levels hinder it [ 24 , 25 ]. Still, for example in the cases of frequently administered opioids, careful monitoring is necessary to ensure the prevention of side effects such as nausea, vomiting, respiratory depression, or reduced GI motility, resulting in anxiety or decreased mobility, that could prolong wound closure [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Management of Pediatric Superficial Partial-Thickness Burns with Polyhexamethylene Biguanide: Outcomes and Influencing Factors

Lőrincz,

Nudelman,

Lamberti

et al. 2024

JCM

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Background: In burn care, achieving swift healing with minimal complications remains paramount. This investigation assesses the role of polyhexamethylene biguanide (PHMB) in managing pediatric superficial partial-thickness burns, focusing on the effects of various patient-specific factors on recovery. Methods: Through a retrospective analysis of 27 pediatric cases treated with PHMB, we evaluated the impact of age, burn size, dressing frequency, treatment delay, cold therapy application, and analgesic usage on the time until reepithelialization (TTRE). Results: The majority of patients benefited from early cold therapy, yet only 1 in 3 patients received analgesics. A mean healing time of 8.78 (SD: 2.64) days was observed, with the extent of the burn showing a strong correlation (r: 0.63) to TTRE. Most treatments were managed outpatient, evidenced by a negligible average hospital stay (0.96 days), with recorded no complications. Conclusions: Our findings endorse PHMB as a promising treatment for superficial second-degree burns in young patients, due to the observed stable and rapid wound closure without the association of increased risks. Continued exploration into the optimal application of prehospital interventions and the comprehensive benefits of PHMB in pediatric burn management is necessary. Future research should assess long-term outcomes, including functionality, scar quality, and patient satisfaction.

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