Pain Management in Burn Patients: Pharmacologic Management of Acute and Chronic Pain.

Clin Plast Surg

Department of Plastic and Reconstructive Surgery, WPP Plastic and Reconstructive Surgery, WakeMed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610, USA.

Published: April 2024

AI Article Synopsis

  • Burn-related pain can significantly reduce quality of life and hinder recovery, emphasizing the need for careful assessment and management.
  • The assessment process should identify whether the pain is acute or chronic, and further classify it into nociceptive, neuropathic, or nociplastic types to inform treatment strategies.
  • A multimodal approach using combination therapies can enhance treatment effectiveness and minimize side effects, but if these are insufficient, surgical options should be explored, along with knowing when to refer patients to specialized pain management.

Article Abstract

Burn-related pain can contribute to decreased quality of life and long-term morbidity, limiting functional recovery. Burn-related pain should be assessed first by chronicity (acute or chronic), followed by type (nociceptive, neuropathic, nociplastic), to guide multimodal pharmacologic management in a stepwise algorithm approach. Combination therapies increase the efficacy and reduce toxicity by offering a multimodal approach that targets different receptors in the peripheral nervous system and central nervous system. When multimodal pharmacologic management is ineffective, etiologies of burn-related pain amenable to surgical interventions must be considered. It is important to know when to refer a patient to pain management.

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Source
http://dx.doi.org/10.1016/j.cps.2023.11.004DOI Listing

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