An Evaluation of Factors Related to Postoperative Pain Control in Burn Patients

Journal of Burn Care & Research : Official Publication of the American Burn Association
Lucy WibbenmeyerTimothy Brennan

Abstract

Satisfactory treatment of burn pain continues to be elusive. The perioperative period is particularly challenging. The contributions of acute tolerance and opioid-induced hyperalgesia have not been previously explored in burn patients. As these phenomena have been identified perioperatively in other patient populations, we sought to characterize the burn perioperative period and to determine variables associated with poor postoperative (post-OR) pain control. A retrospective review of 130 adult burn patients who underwent surgical treatment for their burn injuries was performed. Variables collected included: demographics, burn injury data, perioperative self-reported pain scores, and perioperative opioid amounts. Correlations and multiple logistic regressions were used to assess the relationship between these variables and post-OR pain control. Pain increased throughout the perioperative period from 2.64 24 hours prior to the operation (pre-OR) to 3.81 24 hours following the OR (post-OR, P < .0001). Post-OR pain was correlated with pre-OR pain, pre-OR opioid amounts, OR opioid amounts, and post-OR opioid amounts. When the subgroup of patients with controlled pre-OR pain (<3 pain rating) was analyzed, only pre-OR opioids and pos...Continue Reading

References

Nov 11, 1991·Anesthesiology·I KissinE L Bradley
Jan 25, 2003·The Journal of Burn Care & Rehabilitation·Gretchen J CarrougherDavid M Heimbach
Nov 8, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kanwaljeet J S AnandUNKNOWN Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN)

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Citations

Oct 17, 2016·Burns : Journal of the International Society for Burn Injuries·Noor-Ahmad Latifi, Hamid Karimi
Aug 15, 2017·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Sue E GardnerBarbara A Rakel
Jan 12, 2019·The Journal of International Medical Research·Liviu FellerJohan Lemmer
Jul 2, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Daniel E KimLeopoldo C Cancio
Sep 5, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kathleen S RomanowskiVictor Joe
Sep 6, 2020·The Clinical Journal of Pain·April D ArmstrongUNKNOWN Interdisciplinary Pain Team
May 1, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Richard LennertzAngela Gibson
Jan 22, 2021·Surgery·Efstathia PolychronopoulouYong-Fang Kuo

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