Pain in burn patients

Latarjet, J; Choinère, M.

doi:10.1016/0305-4179(95)00003-8

Cited by 130 publications

(62 citation statements)

References 36 publications

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“…High levels of pain are associated with treatments but ongoing pain, including discomfort from tingling and itching during healing, may continue throughout the admission (Latarjet & Choinere, 1995). At first, the pain may be clearly defined and easy for the patient to describe.…”

Section: Burn Injury and Treatmentmentioning

confidence: 99%

“…Some researchers suggest, however, that more controlled studies which incorporate effects of stages of treatment while measuring the effects of the treatment are needed (Latarjet & Choinere, 1995). One music therapy study with burn patients found music assisted relaxation to be effective in reducing anxiety prior to skin graft surgery (Robb, Nichols, Rutan, Bishop & Parker, 1995).…”

Section: Burn Injury and Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Music Therapy for Children with Severe Burn Injury

Edwards

1998

Music Therapy Perspectives

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Section: Burn Injury and Treatmentmentioning

confidence: 99%

Section: Burn Injury and Treatmentmentioning

confidence: 99%

Music Therapy for Children with Severe Burn Injury

Edwards

1998

Music Therapy Perspectives

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“…Burn pain includes procedural pain, background pain, and breakthrough pain [23]. There are two main features of burn pain, one is its long-lasting course which frequently exceeds healing time, and the other is the repetition of highly nociceptive procedures which can lead to severe psychological disturbances if pain control is inappropriate [28]. Procedural pain evoked by burn dressing changes is more common and painful in patients, and its management is a critical part of treatment in acute burn injuries.…”

Section: Introductionmentioning

confidence: 99%

Puerarin alleviates burn-related procedural pain mediated by P2X3 receptors

Zhang

Gao

et al. 2011

Purinergic Signalling

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Pain is a major problem after burns. Procedural pain evoked by burn dressing changes is common in patients, and its management is a critical part of treatment in acute burn injuries. Burn pain is very likely the most difficult form of acute pain to treat. ATP contributes to inflammation, and ATP is implicated in peripheral pain signaling via actions upon P2X 3 receptors. Puerarin is extracted from a traditional Chinese medicine and may act on P2X 3 receptor mechanisms. The Visual Analogue Scale (VAS) has been shown to be a sensitive indicator of pain intensity and treatment effects. Peripheral blood mononuclear cells (PBMCs) are involved in nociception or pain after burn injury. Burn patients were randomly divided into normal saline (NS) group (salt solution is saline) and puerarin-treated group and pain (Visual Analogue Scale scores) and inflammation (PBMCs) measured. Burn pain produces a stress response, so blood glucose, insulin, and cortisol levels in burn patients were determined. Furthermore, the expression of P2X 3 protein and mRNA in PBMCs was detected. The VAS scores in the puerarintreated group were lower than those in NS group. The blood glucose, insulin, and cortisol levels in the puerarintreated group at post-dressing changes were significantly decreased in comparison with those in NS group. The expression levels of P2X 3 protein and mRNA in PBMCs of burn patients in NS group were significantly increased in comparison with those in the puerarin-treated group. Puerarin can antagonize inflammatory factors (such as ATP) and decrease the upregulated expressions of P2X 3 protein and mRNA in PBMCs after burns to decrease VAS. Thus, puerarin had an analgesic effect on procedural pain in dressing changes of burn patients related to P2X 3 receptors.

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“…Drug administration is the primary and most effective way of treating pain in burn patients because of its nature and intensity 19 . As mentioned previously, the inadequate management of analgesia is still very common and it is extremely important to continually reassess the effectiveness of therapy, as well as the use of more aggressive methods [20][21][22][23] .…”

Section: Pharmacological Treatmentmentioning

confidence: 99%

Tratamento da dor em queimados

Castro

Leal

Sakata

2013

Rev. Bras. Anestesiol.

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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.

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Pain in burn patients

Cited by 130 publications

References 36 publications

Music Therapy for Children with Severe Burn Injury

Music Therapy for Children with Severe Burn Injury

Puerarin alleviates burn-related procedural pain mediated by P2X3 receptors

Tratamento da dor em queimados

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