@article{ref1,
title="The management of pain associated with wound care in severe burn patients in Spain",
journal="International journal of burns and trauma",
year="2016",
author="Mendoza, Antonio and Santoyo, Fernando L. and Agulló, Alberto and Fenández-Cañamaque, José L. and Vivó, Carmen",
volume="6",
number="1",
pages="1-10",
abstract="OBJECTIVE: To describe the management of pain prevention associated with burn care. <br><br>METHODS: Multi-centre, observational, cross-sectional, descriptive study performed in 4 burn units in Spain. <br><br>RESULTS: A total of 55 patients undergoing 64 procedures were analysed. Burns were classified as severe (90.4%), third-degree (78.2%) and caused by thermal agents (81.8%). Background analgesia consisted of non-opioid drugs (87.5%) and opioids (54.7%) [morphine (20.3%), morphine and fentanyl (14.1%) or fentanyl monotherapy (15.6%)]. Burn care was performed by experienced nurses (96.9%); 36.5% followed guidelines. The mean duration of procedures was 44 minutes (Statistical Deviation, SD: 20.2) and the mean duration of pain was 27 minutes (SD: 44.6). Procedural pain was primarily managed with opioid analgesics: fentanyl monotherapy and in combination (84%) and fentanyl monotherapy (48%) administered sublingually (89.1%). Patients described pain as different to usual baseline pain (97%), with a mean maximum intensity score of 4.2 points (SD: 3.3) on the VAS scale and a 34% increase in the intensity of pain. The mean patient and healthcare professional satisfaction score per procedure was 6/10 (SD: 1.9) and 5.5/10 (SD: 1.7), respectively. <br><br>CONCLUSION: The results of the study describe the management of pain associated with burn care in clinical practice, helping optimise pain control.<p /> <p>Language: en</p>",
language="en",
issn="2160-2026",
doi="",
url="http://dx.doi.org/"
}