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The Management of Burn Pain in a Pediatric Burns-Specialist Hospital

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Abstract

Appropriate pain management for children who have experienced an acute burn injury is critical to improve patient outcomes and reduce potential morbidities. With 60% of our patients being under the age of 4 years, pain management is crucial in reducing pain and anxiety in both patients and parents. It is imperative that appropriate pain relief is commenced from initial contact with healthcare workers as this will affect the success or failure of future wound procedures. Uncontrolled pain can negatively affect a patient, both short and long term. It may cause anticipatory anxiety for future medical procedures, increased pain and anxiety can decrease wound re-epithelialization which can lead to long-term consequences for growth and mobility, and increased pain can also influence the possibility of patients and families displaying signs of post-traumatic stress disorder. Pain management in the form of pharmaceuticals is imperative during burn wound treatment and should incorporate pain relief targeted at both background and procedural pain. It also requires a multimodal, individualized, and targeted approach combining both pharmaceutical and nonpharmaceutical techniques, including cold running water, multimodal distraction devices, hypnotherapy, and bubbles. We discuss the research and knowledge that our center has gained through treating pediatric patients with burns over the last 20 years.

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Authors and Affiliations

  1. Centre for Children’s Burns and Trauma Research, Centre for Children’s Health Research, South Brisbane, QLD, Australia

    Kristen Storey, Roy M. Kimble & Maleea D. Holbert

  2. Pegg Leditschke Paediatric Burns Centre, The Queensland Children’s Hospital, South Brisbane, QLD, Australia

    Kristen Storey, Roy M. Kimble & Maleea D. Holbert

  3. Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

    Roy M. Kimble & Maleea D. Holbert

  4. Queensland University of Technology, Brisbane, QLD, Australia

    Kristen Storey & Roy M. Kimble

  5. Children’s Health Queensland Hospital and Health Service, Queensland Children’s Hospital, 501 Stanley Street, South Brisbane, QLD, 4101, Australia

    Kristen Storey

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Kristen Storey, Roy M. Kimble, and Maleea D. Holbert have no conflicts of interest that are directly relevant to the content of this article.

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KS, RMK, and MDH conceived the research. KS wrote the draft manuscript, and all authors provided critical review of the article and approved the final manuscript. KS takes responsibility for the manuscript as a whole.

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Storey, K., Kimble, R.M. & Holbert, M.D. The Management of Burn Pain in a Pediatric Burns-Specialist Hospital. Pediatr Drugs 23, 1–10 (2021). https://doi.org/10.1007/s40272-020-00434-y

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