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Int J Burns Trauma. 2016 Jan 10;6(1):1-10. eCollection 2016.

The management of pain associated with wound care in severe burn patients in Spain.

Author information

1
H. Arrixaca. Ctra Madrid-Cartagena, s/n El Palmar 30120, Murcia, Spain.
2
H. Miguel Servet. Paseo Isabel la Catolica, 1-3 Zaragoza 50009, Spain.
3
H. de Getafe. Carretera de Toledo, km 12,500 Getafe 28905, Madrid, Spain.
4
H. La Fe. Avenida Fernando Abril Martorell, 106 València 46026, Valencia, Spain.

Abstract

OBJECTIVE:

To describe the management of pain prevention associated with burn care.

METHODS:

Multi-centre, observational, cross-sectional, descriptive study performed in 4 burn units in Spain.

RESULTS:

A total of 55 patients undergoing 64 procedures were analysed. Burns were classified as severe (90.4%), third-degree (78.2%) and caused by thermal agents (81.8%). Background analgesia consisted of non-opioid drugs (87.5%) and opioids (54.7%) [morphine (20.3%), morphine and fentanyl (14.1%) or fentanyl monotherapy (15.6%)]. Burn care was performed by experienced nurses (96.9%); 36.5% followed guidelines. The mean duration of procedures was 44 minutes (Statistical Deviation, SD: 20.2) and the mean duration of pain was 27 minutes (SD: 44.6). Procedural pain was primarily managed with opioid analgesics: fentanyl monotherapy and in combination (84%) and fentanyl monotherapy (48%) administered sublingually (89.1%). Patients described pain as different to usual baseline pain (97%), with a mean maximum intensity score of 4.2 points (SD: 3.3) on the VAS scale and a 34% increase in the intensity of pain. The mean patient and healthcare professional satisfaction score per procedure was 6/10 (SD: 1.9) and 5.5/10 (SD: 1.7), respectively.

CONCLUSION:

The results of the study describe the management of pain associated with burn care in clinical practice, helping optimise pain control.

KEYWORDS:

Burns; analgesia; pain management; wounds

PMID:
27069760
PMCID:
PMC4749394

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