Prompt cooling of burned areas: a review of benefits and the effector mechanisms

Davies, J.W.L.

doi:10.1016/0305-4179(82)90127-9

Cited by 83 publications

(34 citation statements)

References 27 publications

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“…The application of cooling in the treatment of burn injuries has been used for centuries. Immediate cooling of burn injuries has been shown to reduce pain, inhibit the destruction of tissues, and expedite wound healing [14,15]. This traditional concept may be applicable to mucosal and tissue injury after tonsillectomy.…”

Section: Discussionmentioning

confidence: 99%

Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Shin

Byun

Baek

et al. 2014

American Journal of Otolaryngology

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Section: Discussionmentioning

confidence: 99%

Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Shin

Byun

Baek

et al. 2014

American Journal of Otolaryngology

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“…Immediately after the injury, simple measures such as cooling (Davies, 1982), covering, elevating and immobilising the burn may provide analgesia (Kinsella & Booth, 1991;Gallagher, Rae & Kinsella, 2000). With severe burn pain, analgesia is best achieved by titration of IV opioids.…”

Section: Chaptermentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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“…Bei der Diskussion über die Länge der Maûnahme wird immer die potentielle Gefahr der Hypothermie als wesentlicher li-mitierender Faktor angeführt [2,4,6,10]. Durch die frühzeitige Kühlung der Wunde soll die Entwicklung sekundärer Schäden begrenzt werden können, so dass Ausmaû der Verletzung und Wundheilung günstig beeinflusst werden.…”

Section: Diskussionunclassified

“…Aus Untersuchungen an brandverletzten Tieren ist bekannt, dass eine durch Kaltwassertherapie induzierte Hypothermie zu einer Zunahme der Letalität führen kann [4]. Luna und Tryba beschreiben eine Zunahme der Letalität bei hypothermen traumatologischen Patienten [9,15].…”

Section: Diskussionunclassified

Hypothermie bei brandverletzten Patienten – Einflüsse der präklinischen Behandlung

Lönnecker

Schoder²

2001

Chirurg

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Hypothermia following pre-hospital treatment of burn patients is a common risk with increasing lethality. Soon after admission to our burn unit, the body temperature of 212 adult patients with more than 5% total body surface area burned was documented. We found no influence of the time of pre-hospital care and cold-water treatment alone on the body temperature. If the patients were not anesthetized, the initial temperature was normal. Only the anesthetized and artificial ventilated patients were hypothermic. We conclude that hypothermia is not a problem of the non-anesthetized and cold-water-treated patient. However, all anesthetized patients must be carefully treated to avoid hypothermia as an important complication in the pre-hospital management.

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Prompt cooling of burned areas: a review of benefits and the effector mechanisms

Cited by 83 publications

References 27 publications

Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Hypothermie bei brandverletzten Patienten – Einflüsse der präklinischen Behandlung

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