Phantom limb pain in pediatric burn survivors

Thomas, Christopher R.; Brazeal, Brad A.; Rosenberg, Laura; Robert, Rhonda; Blakeney, Patricia; Meyer, Walter J.

doi:10.1016/s0305-4179(02)00281-4

Cited by 29 publications

(14 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…When used in low doses, it has an established role in the management of neuropathic pain [38]. It has been shown to be effective in phantom limb pain in children [40]. …”

Section: Specific Analgesicsmentioning

confidence: 99%

Management of Pain in Children with Burns

Gandhi

Thomson

Lord

et al. 2010

International Journal of Pediatrics

View full text Add to dashboard Cite

Burn injuries are common in children under 10 years of age. Thermal injury is the most common mechanism of injury and scalds account for >60% of such injuries. All children with burns will experience pain, regardless of the cause, size, or burn depth. Undertreated pain can result in noncompliance with treatment and, consequently, prolonged healing. It is acknowledged that the monitoring and reporting of pain in children with burns has generally been poor. Due to the adverse physiological and emotional effects secondary to pain, adequate pain control is an integral and requisite component in the management of children with burns. A multidisciplinary approach is frequently necessary to achieve a robust pain relief. Key to successful treatment is the continuous and accurate assessment of pain and the response to therapy. This clinical review article discusses the essential aspects of the pathophysiology of burns in children provides an overview of pain assessment, the salient principles in managing pain, and the essential pharmacodynamics of commonly used drugs in children with burn injuries. Both pharmacological and nonpharmacological treatment options are discussed, although a detailed review of the latter is beyond the scope and remit of this article.

show abstract

“…When used in low doses, it has an established role in the management of neuropathic pain [38]. It has been shown to be effective in phantom limb pain in children [40]. …”

Section: Specific Analgesicsmentioning

confidence: 99%

Management of Pain in Children with Burns

Gandhi

Thomson

Lord

et al. 2010

International Journal of Pediatrics

View full text Add to dashboard Cite

show abstract

“…Mit der Entwicklung von Phantomschmerzen oder eines "complex regional pain syndrome" nach schweren Brandverletzungen oder Hochvoltverbrennungen muss immer gerechnet werden [13,36].…”

Section: Pathophysiologieunclassified

Schmerztherapie bei Verbrennungen

Girtler

Gustorff

2010

Anaesthesist

View full text Add to dashboard Cite

Burn injuries represent a severe form of acute pain. In spite of improvements in wound treatment and pain regimens during recent years, the management of burn pain still remains a common problem and a tremendous challenge for clinical staff. An efficient pain treatment plan contributes to a fast and uneventful course and is an important part of the therapeutic management by plastic surgeons, anesthesiologists, psychologists and physiotherapists. Extensive pharmacokinetic alterations, additional neuropathic components and multiple dressing changes or therapeutic procedures need a flexible and dynamic pain strategy. A standardized continuous pain assessment and documentation are a cornerstone of burn pain control. In addition to pharmacological methods non-pharmacological procedures can play an important role and should be started early during burn patient therapy.

show abstract

“…Those with electrical injuries were significantly more likely to report phantom pain. 136 Additional studies are needed to understand the long-term outcome of individuals with burnrelated amputations, appropriate prosthetic options, complications, and treatment of associated complications such as phantom pain.…”

Section: Amputationsmentioning

confidence: 99%