Pain Management in Pediatric Burns: A Review of the Science behind It.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2023-09-15 eCollection Date: 2023-01-01 DOI:10.1155/2023/9950870
Bogdan Ciornei, Vlad Laurentiu David, Diana Popescu, Eugen Sorin Boia
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引用次数: 0

Abstract

Pediatric burns are a significant medical issue that can have long-term effects on various aspects of a child's health and well-being. Pain management in pediatric burns is a crucial aspect of treatment to ensure the comfort and well-being of young patients. The causes and risk factors for pediatric burns vary depending on various factors, such as geographical location, socioeconomic status, and cultural practices. Assessing pain in pediatric patients, especially during burn injury treatment, poses several challenges. These challenges stem from various factors, including the age and developmental stage of the child, the nature of burn injuries, and the limitations of pain assessment tools. In pediatric pain management, various pain assessment tools and scales are used to evaluate and measure pain in children. These tools are designed to account for the unique challenges of assessing pain in pediatric patients, including their age, developmental stage, and ability to communicate effectively. Pain can have significant physical, emotional, and psychological consequences for pediatric patients. It can interfere with their ability to engage in daily activities, disrupt sleep patterns, and negatively affect their mood and behavior. Untreated pain can also lead to increased stress, anxiety, and fear, which can further exacerbate the pain experience. Acute pain, which is short-term and typically associated with injury or illness, can disrupt a child's ability to engage in physical activities and impede their overall recovery process. On the other hand, chronic pain, which persists for an extended period, can have long-lasting effects on physical functioning and quality of life in children. The psychological consequences of burns can persist long after the physical wounds have healed, leading to ongoing emotional distress and impaired functioning. Multimodal pain management, which involves the use of multiple interventions or medications targeting different aspects of the pain pathway, has gained recognition as an effective approach for managing pain in both children and adults. However, it is important to consider the specific needs and considerations of pediatric patients when developing evidence-based guidelines for multimodal pain management in this population. Over the years, there have been significant advances in pediatric pain research and technology, leading to a better understanding of pain mechanisms and the development of innovative approaches to assess and treat pain in children. Overall, pain management in pediatric burns requires a multidisciplinary approach that combines pharmacologic and nonpharmacologic interventions.

儿科烧伤的疼痛管理:背后的科学回顾。
儿童烧伤是一个重要的医学问题,可能对儿童健康和福祉的各个方面产生长期影响。儿科烧伤的疼痛管理是治疗的一个关键方面,以确保年轻患者的舒适和健康。儿童烧伤的原因和风险因素因各种因素而异,如地理位置、社会经济地位和文化习俗。评估儿科患者的疼痛,特别是在烧伤治疗过程中,提出了一些挑战。这些挑战源于各种因素,包括儿童的年龄和发育阶段、烧伤的性质以及疼痛评估工具的局限性。在儿科疼痛管理中,使用各种疼痛评估工具和量表来评估和测量儿童的疼痛。这些工具旨在解决评估儿科患者疼痛的独特挑战,包括他们的年龄、发育阶段和有效沟通的能力。疼痛会对儿科患者产生重大的身体、情感和心理后果。它会干扰他们进行日常活动的能力,扰乱睡眠模式,并对他们的情绪和行为产生负面影响。未经治疗的疼痛也会导致压力、焦虑和恐惧的增加,从而进一步加剧疼痛体验。急性疼痛是短期的,通常与损伤或疾病有关,会破坏儿童进行体育活动的能力,阻碍他们的整体康复过程。另一方面,长期持续的慢性疼痛会对儿童的身体功能和生活质量产生长期影响。烧伤的心理后果可能在身体创伤愈合后很长一段时间内持续存在,导致持续的情绪困扰和功能受损。多模式疼痛管理涉及针对疼痛途径的不同方面使用多种干预措施或药物,已被公认为管理儿童和成人疼痛的有效方法。然而,在制定该人群多模式疼痛管理的循证指南时,考虑儿科患者的具体需求和考虑因素是很重要的。多年来,儿科疼痛研究和技术取得了重大进展,使人们更好地了解了疼痛机制,并开发了评估和治疗儿童疼痛的创新方法。总的来说,儿科烧伤的疼痛管理需要一种多学科的方法,将药物和非药物干预相结合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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