Volume 38 Issue 2
Feb.  2022
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Article Contents
Jia MQ,Yuan XG.Current status and research advances on drug sedation and analgesia in burn children[J].Chin J Burns Wounds,2022,38(2):190-195.DOI: 10.3760/cma.j.cn501120-20200908-00404.
Citation: Jia MQ,Yuan XG.Current status and research advances on drug sedation and analgesia in burn children[J].Chin J Burns Wounds,2022,38(2):190-195.DOI: 10.3760/cma.j.cn501120-20200908-00404.

Current status and research advances on drug sedation and analgesia in burn children

doi: 10.3760/cma.j.cn501120-20200908-00404
Funds:

Scientific Research Project of Chongqing Health and Family Planning Commission 20142043

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  • Corresponding author: Yuan Xingang, Email: yuanxinggang1977@qq.com
  • Received Date: 2020-09-08
  • Children are high-risk groups of burns, with unique physiological, psychological, and anatomical states, and the management of anxiety and pain for burn children are extremely challenging. Non-pharmacological interventions are very important for pain management in burn children, but are often inadequate for treating pain and anxiety, so pharmacological sedation and analgesia are necessary. This article reviewed the clinical treatment and research progress in this field in the past 10 years at home and abroad, including the pain assessment of burn children, monitoring in sedative and analgesic treatment, main therapeutic drugs and research progress, and some controversies in clinical practice. Besides, some suggestions have been put forward for clinical reference.

     

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  • [1]
    KudchadkarSR,AljohaniOA,PunjabiNM.Sleep of critically ill children in the pediatric intensive care unit: a systematic review[J].Sleep Med Rev,2014,18(2):103-110.DOI: 10.1016/j.smrv.2013.02.002.
    [2]
    《中华烧伤杂志》编辑委员会.成人烧伤疼痛管理指南(2013版)[J].中华烧伤杂志,2013,29(3):225-231.DOI: 10.3760/cma.j.issn.1009-2587.2013.03.002.
    [3]
    ISBI Practice Guidelines Committee, SubcommitteeAdvisory, SubcommitteeSteering. ISBI practice guidelines for burn care, part 2[J].Burns,2018,44(7):1617-1706.DOI: 10.1016/j.burns.2018.09.012.
    [4]
    Gamst-JensenH,VedelPN,Lindberg-LarsenVO,et al.Acute pain management in burn patients: appraisal and thematic analysis of four clinical guidelines[J].Burns,2014,40(8):1463- 1469.DOI: 10.1016/j.burns.2014.08.020.
    [5]
    中华医学会儿科学分会急救学组,中华医学会急诊医学分会儿科学组,中国医师协会儿童重症医师分会.中国儿童重症监护病房镇痛和镇静治疗专家共识(2018版)[J].中华儿科杂志,2019,57(5):324-330.DOI: 10.3760/cma.j.issn.0578-1310.2019.05.002.
    [6]
    FaginA,PalmieriTL.Considerations for pediatric burn sedation and analgesia[J/OL].Burns Trauma,2017,5:28[2020-09-08].https://pubmed.ncbi.nlm.nih.gov/29051890/.DOI:10.1186/s41038- 017-0094-8.
    [7]
    LuffyR,GroveSK.Examining the validity, reliability, and preference of three pediatric pain measurement tools in African-American children[J].Pediatr Nurs,2003,29(1):54-59.
    [8]
    de JongA,BaartmansMJ,BremerM,et al.Reliability, validity and clinical utility of three types of pain behavioural observation scales for young children with burns aged 0-5 years[J].Pain,2010,150(3):561-567.DOI: 10.1016/j.pain.2010.06.016.
    [9]
    van der HeijdenMJE,de JongA,RodeH,et al.Assessing and addressing the problem of pain and distress during wound care procedures in paediatric patients with burns[J].Burns,2018,44(1):175-182.DOI: 10.1016/j.burns.2017.07.004.
    [10]
    ShenJ,GilesSA,KurtovicK,et al.Evaluation of nurse accuracy in rating procedural pain among pediatric burn patients using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale[J].Burns,2017,43(1):114-120.DOI: 10.1016/j.burns.2016.07.009.
    [11]
    FranckLS,BruceE.Putting pain assessment into practice: why is it so painful?[J].Pain Res Manag,2009,14(1):13-20.DOI: 10.1155/2009/856587.
    [12]
    KraussB,GreenSM.Procedural sedation and analgesia in children[J].Lancet,2006,367(9512):766-780.DOI: 10.1016/S0140-6736(06)68230-5.
    [13]
    BayatA,RamaiahR,BhanankerSM.Analgesia and sedation for children undergoing burn wound care[J].Expert Rev Neurother,2010,10(11):1747-1759.DOI: 10.1586/ern.10.158.
    [14]
    PardesiO,FuzaylovG.Pain management in pediatric burn patients: review of recent literature and future directions[J].J Burn Care Res,2017,38(6):335-347.DOI: 10.1097/BCR.0000000000000470.
    [15]
    BroadisE,ChokothoT,BorgsteinE.Paediatric burn and scald management in a low resource setting: a reference guide and review[J].Afr J Emerg Med,2017,7(Suppl):S27-31.DOI: 10.1016/j.afjem.2017.06.004.
    [16]
    KhanA,ParikhM,MinhajuddinA,et al.Opioid prescribing practices in a pediatric burn tertiary care facility: is it time to change?[J].Burns,2020,46(1):219-224.DOI: 10.1016/j.burns.2019.07.016.
    [17]
    SingletonA,PrestonRJ,CochranA.Sedation and analgesia for critically ill pediatric burn patients: the current state of practice[J].J Burn Care Res,2015,36(3):440-445.DOI: 10.1097/BCR.0000000000000165.
    [18]
    GrossmannB,NilssonA,SjöbergF,et al.Rectal ketamine during paediatric burn wound dressing procedures: a randomised dose-finding study[J].Burns,2019,45(5):1081-1088.DOI: 10.1016/j.burns.2018.12.012.
    [19]
    NemethM,JacobsenN,BantelC,et al.Intranasal analgesia and sedation in pediatric emergency care-a prospective observational study on the implementation of an institutional protocol in a tertiary children's hospital[J].Pediatr Emerg Care,2019,35(2):89-95.DOI: 10.1097/PEC.0000000000001017.
    [20]
    SeolTK,LimJK,YooEK,et al.Propofol-ketamine or propofol-remifentanil for deep sedation and analgesia in pediatric patients undergoing burn dressing changes: a randomized clinical trial[J].Paediatr Anaesth,2015,25(6):560- 566.DOI: 10.1111/pan.12592.
    [21]
    NorambuenaC,YañezJ,FloresV,et al.Oral ketamine and midazolam for pediatric burn patients: a prospective, randomized, double-blind study[J].J Pediatr Surg,2013,48(3):629-634.DOI: 10.1016/j.jpedsurg.2012.08.018.
    [22]
    CanpolatDG,EsmaogluA,TosunZ,et al.Ketamine-propofol vs ketamine-dexmedetomidine combinations in pediatric patients undergoing burn dressing changes[J].J Burn Care Res,2012,33(6):718-722.DOI: 10.1097/BCR.0b013e3182504316.
    [23]
    SchieveldJN,StrikJJ.Pediatric delirium: a worldwide PICU problem[J].Crit Care Med,2017,45(4):746-747.DOI: 10.1097/CCM.0000000000002275.
    [24]
    SmithHAB,GangopadhyayM,GobenCM,et al.Delirium and benzodiazepines associated with prolonged ICU stay in critically ill infants and young children[J].Crit Care Med,2017,45(9):1427-1435.DOI: 10.1097/CCM.0000000000002515.
    [25]
    MottaE,LuglioM,DelgadoAF,et al.Importance of the use of protocols for the management of analgesia and sedation in pediatric intensive care unit[J].Rev Assoc Med Bras (1992),2016,62(6):602-609.DOI: 10.1590/1806-9282.62.06.602.
    [26]
    VetNJ,IstaE,de WildtSN,et al.Optimal sedation in pediatric intensive care patients: a systematic review[J].Intensive Care Med,2013,39(9):1524-1534.DOI: 10.1007/s00134-013-2971-3.
    [27]
    吴巍巍,路英慧,程丹,等.烧伤患儿的疼痛评估及非药物干预研究进展[J].中华烧伤杂志,2020,36(1):76-80.DOI: 10.3760/cma.j.issn.1009-2587.2020.01.015.
    [28]
    CotéCJ,NottermanDA,KarlHW,et al.Adverse sedation events in pediatrics: a critical incident analysis of contributing factors[J].Pediatrics,2000,105(4 Pt 1):805-814.DOI: 10.1542/peds.105.4.805.
    [29]
    SchwartzKR,FredricksK,Al TawilZ,et al.An innovative safe anesthesia and analgesia package for emergency pediatric procedures and surgeries when no anesthetist is available[J].Int J Emerg Med,2016,9(1):16.DOI: 10.1186/s12245-016-0113-8.
    [30]
    O'HaraD,GaneshalingamK,GerrishH,et al.A 2 year experience of nurse led conscious sedation in paediatric burns[J].Burns,2014,40(1):48-53.DOI: 10.1016/j.burns.2013.08.021.
    [31]
    ThompsonEM,AndrewsDD,Christ-LibertinC.Efficacy and safety of procedural sedation and analgesia for burn wound care[J].J Burn Care Res,2012,33(4):504-509.DOI: 10.1097/BCR.0b013e318236fe4f.
    [32]
    DissanaikeS.Is it ethical to treat pain differently in children and adults with burns?[J].AMA J Ethics,2018,20(6):531-536.DOI: 10.1001/journalofethics.2018.20.6.cscm1-1806.
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