- Chapter 1 Incidence and epidemiology
- Chapter 2 Burn prevention
- Chapter 3 Pathophysiological response to burns
- Chapter 4 Hypermetabolic response to burns
- Chapter 5 The burns management pathway I: assessing and transferring patients with an acute burn injury
- Chapter 6 The burns management pathway II: receiving and initially managing a patient with burns
- Chapter 7 Predicting mortality and end of life care
- Chapter 8 Burns first aid
- Chapter 9 Assessment of burn surface area
- Chapter 10 Burn depth assessment
- Chapter 11 Fluid resuscitation in burns
- Chapter 12 Escharotomies
- Chapter 13 Critical care of burns patients
- Chapter 14 Anaesthesia: preoperative management of patients with acute burns
- Chapter 15 Anaesthesia: intraoperative management of patients with acute burn injury
- Chapter 16 Burns surgery
- Chapter 17 Burn wound dressings
- Chapter 18 Management of burn wound infection
- Chapter 19 Chemical burns
- Chapter 20 Electrical injuries
- Chapter 21 Radiation burns
- Chapter 22 Ocular burns
- Chapter 23 Hand burns
- Chapter 24 Perineal and genital burns
- Chapter 25 Skin substitutes
- Chapter 26 Occupational and physiotherapy
- Chapter 27 Outcome measures for burns
- Chapter 28 Burns scar management
- Chapter 29 Principles of burn reconstruction
- Chapter 30 Burn contracture surgery
- Chapter 31 Outpatient management of minor burns
- Chapter 32 Remote assessment of burns
- Chapter 33 Cost of burn care
- Chapter 34 Paediatric burns
- Chapter 35 Non-accidental injury (NAI) in children
- Chapter 36 Burns itch
- Chapter 37 Nutritional requirements in the burn patients
- Chapter 38 Tetanus
- Chapter 39 Desquamating skin disorders
- Chapter 40 Military burns
- Chapter 41 Sunburn and artificial tanning
- Chapter 42 Frostbite
- Chapter 43 Hair restoration
- Chapter 44 Laser management of scars
- Chapter 45 Face transplantation
- Chapter 46 Pain management
- Chapter 47 Burn care drug formulary
(p. 383) Pain management
- Chapter:
- (p. 383) Pain management
- Author(s):
William L Yancey
, Walter J. Meyer III
, Lee C. Woodson
, and Rene Przkora
- DOI:
- 10.1093/med/9780199699537.003.0046
Treatment of pain in the burn patient presents a unique set of challenges. The pathology of pain with these injuries, while consistent at its most basic level, varies considerably with factors such as the burn severity and the stage of treatment/healing. The experience of pain shows similar variation. The assessment of pain and recognition of contributing factors such as anxiety and depression require vigilance and persistence, especially among paediatric populations. Multiple techniques for the measurement of pain in patients have been evaluated and are suitable for routine use. A multimodal approach to the treatment of pain should be employed, including pharmacological, surgical, non-pharmacological, and psychological therapies.
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- Chapter 1 Incidence and epidemiology
- Chapter 2 Burn prevention
- Chapter 3 Pathophysiological response to burns
- Chapter 4 Hypermetabolic response to burns
- Chapter 5 The burns management pathway I: assessing and transferring patients with an acute burn injury
- Chapter 6 The burns management pathway II: receiving and initially managing a patient with burns
- Chapter 7 Predicting mortality and end of life care
- Chapter 8 Burns first aid
- Chapter 9 Assessment of burn surface area
- Chapter 10 Burn depth assessment
- Chapter 11 Fluid resuscitation in burns
- Chapter 12 Escharotomies
- Chapter 13 Critical care of burns patients
- Chapter 14 Anaesthesia: preoperative management of patients with acute burns
- Chapter 15 Anaesthesia: intraoperative management of patients with acute burn injury
- Chapter 16 Burns surgery
- Chapter 17 Burn wound dressings
- Chapter 18 Management of burn wound infection
- Chapter 19 Chemical burns
- Chapter 20 Electrical injuries
- Chapter 21 Radiation burns
- Chapter 22 Ocular burns
- Chapter 23 Hand burns
- Chapter 24 Perineal and genital burns
- Chapter 25 Skin substitutes
- Chapter 26 Occupational and physiotherapy
- Chapter 27 Outcome measures for burns
- Chapter 28 Burns scar management
- Chapter 29 Principles of burn reconstruction
- Chapter 30 Burn contracture surgery
- Chapter 31 Outpatient management of minor burns
- Chapter 32 Remote assessment of burns
- Chapter 33 Cost of burn care
- Chapter 34 Paediatric burns
- Chapter 35 Non-accidental injury (NAI) in children
- Chapter 36 Burns itch
- Chapter 37 Nutritional requirements in the burn patients
- Chapter 38 Tetanus
- Chapter 39 Desquamating skin disorders
- Chapter 40 Military burns
- Chapter 41 Sunburn and artificial tanning
- Chapter 42 Frostbite
- Chapter 43 Hair restoration
- Chapter 44 Laser management of scars
- Chapter 45 Face transplantation
- Chapter 46 Pain management
- Chapter 47 Burn care drug formulary