Department of Paediatric Surgery and Orthopedics, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Department of Pediatric Surgery, "Louis Turcanu" Emergency Children's Hospital, Timisoara, Romania.
Glob Health Epidemiol Genom. 2023 Sep 15;2023:9950870. doi: 10.1155/2023/9950870. eCollection 2023.
Pediatric burns are a significant medical issue that can have long-term effects on various aspects of a child's health and well-being. Pain management in pediatric burns is a crucial aspect of treatment to ensure the comfort and well-being of young patients. The causes and risk factors for pediatric burns vary depending on various factors, such as geographical location, socioeconomic status, and cultural practices. Assessing pain in pediatric patients, especially during burn injury treatment, poses several challenges. These challenges stem from various factors, including the age and developmental stage of the child, the nature of burn injuries, and the limitations of pain assessment tools. In pediatric pain management, various pain assessment tools and scales are used to evaluate and measure pain in children. These tools are designed to account for the unique challenges of assessing pain in pediatric patients, including their age, developmental stage, and ability to communicate effectively. Pain can have significant physical, emotional, and psychological consequences for pediatric patients. It can interfere with their ability to engage in daily activities, disrupt sleep patterns, and negatively affect their mood and behavior. Untreated pain can also lead to increased stress, anxiety, and fear, which can further exacerbate the pain experience. Acute pain, which is short-term and typically associated with injury or illness, can disrupt a child's ability to engage in physical activities and impede their overall recovery process. On the other hand, chronic pain, which persists for an extended period, can have long-lasting effects on physical functioning and quality of life in children. The psychological consequences of burns can persist long after the physical wounds have healed, leading to ongoing emotional distress and impaired functioning. Multimodal pain management, which involves the use of multiple interventions or medications targeting different aspects of the pain pathway, has gained recognition as an effective approach for managing pain in both children and adults. However, it is important to consider the specific needs and considerations of pediatric patients when developing evidence-based guidelines for multimodal pain management in this population. Over the years, there have been significant advances in pediatric pain research and technology, leading to a better understanding of pain mechanisms and the development of innovative approaches to assess and treat pain in children. Overall, pain management in pediatric burns requires a multidisciplinary approach that combines pharmacologic and nonpharmacologic interventions.
儿科烧伤是一个重大的医学问题，会对儿童的健康和福祉的各个方面产生长期影响。在儿科烧伤的治疗中，疼痛管理是确保患儿舒适和健康的关键方面。儿科烧伤的原因和风险因素因地理位置、社会经济地位和文化习俗等各种因素而异。评估儿科患者的疼痛，特别是在烧伤治疗期间，存在一些挑战。这些挑战源于儿童的年龄和发育阶段、烧伤的性质以及疼痛评估工具的局限性等各种因素。在儿科疼痛管理中，使用各种疼痛评估工具和量表来评估和测量儿童的疼痛。这些工具旨在考虑到评估儿科患者疼痛的独特挑战，包括他们的年龄、发育阶段和有效沟通的能力。疼痛会对儿科患者的身体、情感和心理产生重大影响。它会干扰他们参与日常活动的能力，打乱睡眠模式，并对他们的情绪和行为产生负面影响。未经治疗的疼痛还会导致压力、焦虑和恐惧增加，从而进一步加剧疼痛体验。急性疼痛是短期的，通常与损伤或疾病有关，会干扰儿童的身体活动能力，并阻碍他们的整体康复过程。另一方面，慢性疼痛持续时间较长，会对儿童的身体功能和生活质量产生长期影响。烧伤的心理后果在身体伤口愈合后很久仍会持续存在，导致持续的情绪困扰和功能受损。多模式疼痛管理涉及使用多种干预措施或针对疼痛途径不同方面的药物，已被认为是管理儿童和成人疼痛的有效方法。然而，在为儿科患者制定基于证据的多模式疼痛管理指南时，需要考虑到儿科患者的具体需求和注意事项。多年来，儿科疼痛研究和技术取得了重大进展，使我们对疼痛机制有了更好的理解，并开发了评估和治疗儿童疼痛的创新方法。总的来说，儿科烧伤的疼痛管理需要多学科方法，结合药物和非药物干预措施。
