UCSD Pediatrics Burn Pain Management Site


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Procedure Pain

It is important to understand the difference between concious sedation and general anesthesia. Many times I get asked to provide concious sedation for infants and small children,
.Guidelines for optimal analgesia at burn dressing changes

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Ensure an adequately staffed and safe environment in which to care for sedated patients
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Control severe acute pain due to nociception (inflammatory response) during the painful stages of the dressing (i.e. dressing removal, wound cleansing) by titrating analgesia to patient's individual requirements
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Avoid over sedation during and following the dressing change, but ensure adequate post-procedural analgesia through frequent pain assessment and monitoring of vital signs such as respiratory rate and sedation level
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Avoid prolonged fasting whenever possible as adequate nutrition and hydration are extremely important to heal the wounds