Evaluation of pain associated with the application of burn dressings.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI:10.62347/RBJC6006
Connor L Kenney, Catherine R Thorpe, Steven G Schauer, Mahdi Haq, James K Aden, Julie A Rizzo
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Abstract

Introduction: Topical wound care after burn injury has revolutionized burn care. Dressings and topical solutions provide broad-spectrum antimicrobial coverage to prevent wound infection, be easy to apply and remove, and promote wound healing. A wide variety of dressings are available for providers to choose from based on wound characteristics. An additional factor to consider when making that decision is any pain associated with applying the dressing and frequency of dressing changes.

Methodology: This retrospective study aimed to examine the daily and maximum pain reported by patients and daily opioid consumption to determine if there are any differences among commonly used dressings including 5% sulfamylon solution (SMS), manuka honey, negative-pressure wound therapy (NPWT), silver sulfadiazine, and silver nylon.

Results: This study demonstrated that silver sulfadiazine had lower mean daily pain scores compared only to manuka honey as well as lower maximum scores when compared to all other dressings except silver nylon. Furthermore, the choice of dressing did not have an overwhelming effect on the amount of opioids consumed by patients during their hospital stay with manuka honey having less opioid consumption when compared to only 5% SMS and NPWT only.

Conculsion: Further studies are needed with additional validated pain assessment tools and clinically relevant endpoints to fully elucidate the impact of burn dressings and other topical wound care options on pain.

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评估与烧伤敷料使用相关的疼痛。
简介烧伤后的局部伤口护理为烧伤护理带来了革命性的变化。敷料和局部溶液具有广谱抗菌作用,可预防伤口感染,易于使用和去除,并能促进伤口愈合。医护人员可根据伤口特点选择多种敷料。在做决定时,还需考虑的一个因素是敷料带来的疼痛和换药频率:这项回顾性研究旨在检查患者报告的每日和最大疼痛程度以及每日阿片类药物消耗量,以确定常用敷料(包括 5%磺胺脒溶液 (SMS)、麦卢卡蜂蜜、负压伤口疗法 (NPWT)、磺胺嘧啶银和尼龙银)之间是否存在差异:研究结果表明,与麦卢卡蜂蜜相比,磺胺嘧啶银的日平均疼痛评分较低,与除尼龙银以外的所有其他敷料相比,磺胺嘧啶银的最高评分也较低。此外,敷料的选择对患者住院期间阿片类药物的用量并无压倒性影响,麦卢卡蜂蜜的阿片类药物用量低于仅占 5% 的 SMS 和 NPWT:结论:需要使用更多经过验证的疼痛评估工具和临床相关终点进行进一步研究,以充分阐明烧伤敷料和其他局部伤口护理方案对疼痛的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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