Treatment of pain in severe burns.

摘要: Burn pain can cause psychologic and functional difficulties, is difficult to predict from wound depth. The initial painful stimulation of nerve endings by the burn with continued stimuli result in peripheral central mechanisms causing amplification stimuli, development chronic syndromes that be treat. In order assess effect analgesic interventions it essential measure patient's a simple reproducible manner. A number tools exist for this measurement, ranging longer more detailed techniques such as McGill questionnaire most suited relatively stable pain, visual analogue scores picture-based children. Pain management begins acute injury, measures cooling use inhalational agents oxygen/nitrous oxide mixtures. On arrival hospital, any but trivial burns, intravenous opioids are appropriate should administered small boluses titrated against effect. Following resuscitation, may divided into background associated procedures. These often require different interventions. Background treated potent infusion or patient controlled analgesia then on oral, less opioids, followed other oral analgesics. Often drug combinations work best. More severe procedural variety slight increase therapy drugs, local blocks, general anaesthesia. addition drug-based methods managing nonpharmacologic approaches have been successfully employed including hypnosis, auricular electrical stimulation, massage, cognitive behavioural techniques.