Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers
Abstract The management of pain and sedation during burn dressing change is challenging. Previous reviews and studies have identified wide variability in such practices in hospitalized burn patients. This survey-based study aimed to determine the most commonly utilized sedation and analgesia practic...
Gespeichert in:
Veröffentlicht in: | Journal of burn care & research 2020-02, Vol.41 (2), p.322-327 |
---|---|
Hauptverfasser: | , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 327 |
---|---|
container_issue | 2 |
container_start_page | 322 |
container_title | Journal of burn care & research |
container_volume | 41 |
creator | Voss, Jordan K Lozenski, Jeanette Hansen, Jennifer K Salerno, Shannon Lackamp, Aaron Parks, Jennifer Bhavsar, Dhaval Kovac, Anthony L |
description | Abstract
The management of pain and sedation during burn dressing change is challenging. Previous reviews and studies have identified wide variability in such practices in hospitalized burn patients. This survey-based study aimed to determine the most commonly utilized sedation and analgesia practices in adult burn patients treated in the outpatient setting. The goal was to identify opportunities for improvement and to assist burn centers in optimizing sedation procedures. A 23-question survey was sent to members of the American Burn Association. Nonpharmacological interventions including music, television, games, and virtual reality were used by 68% of survey respondents. Eighty-one percent reported premedicating with oral opioids, 32% with intravenous opioids, and 45% with anxiolytics. Fifty-nine percentage of respondents indicated that the initial medication regimen for outpatient dressing changes consisted of the patient's existing oral pain medications. Forty-three percent indicated that there were no additional options if this regimen provided inadequate analgesia. Fifty-six percentage of respondents felt that pain during dressing change was adequately controlled 75% to 100% of the time, and 32% felt it was adequately controlled 50% to 75% of the time. Nitrous oxide was used by 8%. Anesthesia providers and an acute pain service are available in a minority of cases (13.7% and 28%, respectively) and are rarely consulted. Procedural burn pain remains significantly undertreated in the outpatient setting and the approach to treatment is variable among burn centers in the United States. Such variation likely represents an opportunity for identifying and implementing optimal practices and developing guidelines for burn pain management in the outpatient setting. |
doi_str_mv | 10.1093/jbcr/irz164 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2336992180</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/jbcr/irz164</oup_id><sourcerecordid>2336992180</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-5ddcc294f9fdb2ebadf672a49c9f773ab285d53c75dbaca6ebcdaf0e1f9a829a3</originalsourceid><addsrcrecordid>eNp90DtPwzAUhmELgbhP7MgTQkKlthM3MVsoVwmJoSCxRSf2cQlK7WInSOXXkyqFkemc4dE7fISccHbJmUrGH5UO4zp880m6Rfa5lGrE0jzf_vuztz1yEOMHY2nKMrlL9hIuUy5SuU_8DA20tXcUnKGFg2aOsQZqfaCF6ZqWPnftshfoWnrdBUdvAsZYuzmdvoOb4xUt6KwLX7ii3tJigaHW4AZaxOh1PeSnfQBDPCI7FpqIx5t7SF7vbl-mD6On5_vHafE00olg7Ugao7VQqVXWVAIrMHaSCUiVVjbLEqhELo1MdCZNBRomWGkDliG3CnKhIDkk50N3Gfxnh7EtF3XU2DTg0HexFEkyUUrwnPX0YqA6-BgD2nIZ6gWEVclZuV64XC9cDgv3-nQT7qoFmj_7O2kPzgbgu-W_pR8dT4eh</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2336992180</pqid></control><display><type>article</type><title>Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers</title><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Voss, Jordan K ; Lozenski, Jeanette ; Hansen, Jennifer K ; Salerno, Shannon ; Lackamp, Aaron ; Parks, Jennifer ; Bhavsar, Dhaval ; Kovac, Anthony L</creator><creatorcontrib>Voss, Jordan K ; Lozenski, Jeanette ; Hansen, Jennifer K ; Salerno, Shannon ; Lackamp, Aaron ; Parks, Jennifer ; Bhavsar, Dhaval ; Kovac, Anthony L</creatorcontrib><description>Abstract
The management of pain and sedation during burn dressing change is challenging. Previous reviews and studies have identified wide variability in such practices in hospitalized burn patients. This survey-based study aimed to determine the most commonly utilized sedation and analgesia practices in adult burn patients treated in the outpatient setting. The goal was to identify opportunities for improvement and to assist burn centers in optimizing sedation procedures. A 23-question survey was sent to members of the American Burn Association. Nonpharmacological interventions including music, television, games, and virtual reality were used by 68% of survey respondents. Eighty-one percent reported premedicating with oral opioids, 32% with intravenous opioids, and 45% with anxiolytics. Fifty-nine percentage of respondents indicated that the initial medication regimen for outpatient dressing changes consisted of the patient's existing oral pain medications. Forty-three percent indicated that there were no additional options if this regimen provided inadequate analgesia. Fifty-six percentage of respondents felt that pain during dressing change was adequately controlled 75% to 100% of the time, and 32% felt it was adequately controlled 50% to 75% of the time. Nitrous oxide was used by 8%. Anesthesia providers and an acute pain service are available in a minority of cases (13.7% and 28%, respectively) and are rarely consulted. Procedural burn pain remains significantly undertreated in the outpatient setting and the approach to treatment is variable among burn centers in the United States. Such variation likely represents an opportunity for identifying and implementing optimal practices and developing guidelines for burn pain management in the outpatient setting.</description><identifier>ISSN: 1559-047X</identifier><identifier>EISSN: 1559-0488</identifier><identifier>DOI: 10.1093/jbcr/irz164</identifier><identifier>PMID: 31541245</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><ispartof>Journal of burn care & research, 2020-02, Vol.41 (2), p.322-327</ispartof><rights>American Burn Association 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2019</rights><rights>American Burn Association 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c320t-5ddcc294f9fdb2ebadf672a49c9f773ab285d53c75dbaca6ebcdaf0e1f9a829a3</citedby><cites>FETCH-LOGICAL-c320t-5ddcc294f9fdb2ebadf672a49c9f773ab285d53c75dbaca6ebcdaf0e1f9a829a3</cites><orcidid>0000-0001-9710-4161</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31541245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Voss, Jordan K</creatorcontrib><creatorcontrib>Lozenski, Jeanette</creatorcontrib><creatorcontrib>Hansen, Jennifer K</creatorcontrib><creatorcontrib>Salerno, Shannon</creatorcontrib><creatorcontrib>Lackamp, Aaron</creatorcontrib><creatorcontrib>Parks, Jennifer</creatorcontrib><creatorcontrib>Bhavsar, Dhaval</creatorcontrib><creatorcontrib>Kovac, Anthony L</creatorcontrib><title>Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers</title><title>Journal of burn care & research</title><addtitle>J Burn Care Res</addtitle><description>Abstract
The management of pain and sedation during burn dressing change is challenging. Previous reviews and studies have identified wide variability in such practices in hospitalized burn patients. This survey-based study aimed to determine the most commonly utilized sedation and analgesia practices in adult burn patients treated in the outpatient setting. The goal was to identify opportunities for improvement and to assist burn centers in optimizing sedation procedures. A 23-question survey was sent to members of the American Burn Association. Nonpharmacological interventions including music, television, games, and virtual reality were used by 68% of survey respondents. Eighty-one percent reported premedicating with oral opioids, 32% with intravenous opioids, and 45% with anxiolytics. Fifty-nine percentage of respondents indicated that the initial medication regimen for outpatient dressing changes consisted of the patient's existing oral pain medications. Forty-three percent indicated that there were no additional options if this regimen provided inadequate analgesia. Fifty-six percentage of respondents felt that pain during dressing change was adequately controlled 75% to 100% of the time, and 32% felt it was adequately controlled 50% to 75% of the time. Nitrous oxide was used by 8%. Anesthesia providers and an acute pain service are available in a minority of cases (13.7% and 28%, respectively) and are rarely consulted. Procedural burn pain remains significantly undertreated in the outpatient setting and the approach to treatment is variable among burn centers in the United States. Such variation likely represents an opportunity for identifying and implementing optimal practices and developing guidelines for burn pain management in the outpatient setting.</description><issn>1559-047X</issn><issn>1559-0488</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp90DtPwzAUhmELgbhP7MgTQkKlthM3MVsoVwmJoSCxRSf2cQlK7WInSOXXkyqFkemc4dE7fISccHbJmUrGH5UO4zp880m6Rfa5lGrE0jzf_vuztz1yEOMHY2nKMrlL9hIuUy5SuU_8DA20tXcUnKGFg2aOsQZqfaCF6ZqWPnftshfoWnrdBUdvAsZYuzmdvoOb4xUt6KwLX7ii3tJigaHW4AZaxOh1PeSnfQBDPCI7FpqIx5t7SF7vbl-mD6On5_vHafE00olg7Ugao7VQqVXWVAIrMHaSCUiVVjbLEqhELo1MdCZNBRomWGkDliG3CnKhIDkk50N3Gfxnh7EtF3XU2DTg0HexFEkyUUrwnPX0YqA6-BgD2nIZ6gWEVclZuV64XC9cDgv3-nQT7qoFmj_7O2kPzgbgu-W_pR8dT4eh</recordid><startdate>20200219</startdate><enddate>20200219</enddate><creator>Voss, Jordan K</creator><creator>Lozenski, Jeanette</creator><creator>Hansen, Jennifer K</creator><creator>Salerno, Shannon</creator><creator>Lackamp, Aaron</creator><creator>Parks, Jennifer</creator><creator>Bhavsar, Dhaval</creator><creator>Kovac, Anthony L</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9710-4161</orcidid></search><sort><creationdate>20200219</creationdate><title>Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers</title><author>Voss, Jordan K ; Lozenski, Jeanette ; Hansen, Jennifer K ; Salerno, Shannon ; Lackamp, Aaron ; Parks, Jennifer ; Bhavsar, Dhaval ; Kovac, Anthony L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-5ddcc294f9fdb2ebadf672a49c9f773ab285d53c75dbaca6ebcdaf0e1f9a829a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Voss, Jordan K</creatorcontrib><creatorcontrib>Lozenski, Jeanette</creatorcontrib><creatorcontrib>Hansen, Jennifer K</creatorcontrib><creatorcontrib>Salerno, Shannon</creatorcontrib><creatorcontrib>Lackamp, Aaron</creatorcontrib><creatorcontrib>Parks, Jennifer</creatorcontrib><creatorcontrib>Bhavsar, Dhaval</creatorcontrib><creatorcontrib>Kovac, Anthony L</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of burn care & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Voss, Jordan K</au><au>Lozenski, Jeanette</au><au>Hansen, Jennifer K</au><au>Salerno, Shannon</au><au>Lackamp, Aaron</au><au>Parks, Jennifer</au><au>Bhavsar, Dhaval</au><au>Kovac, Anthony L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers</atitle><jtitle>Journal of burn care & research</jtitle><addtitle>J Burn Care Res</addtitle><date>2020-02-19</date><risdate>2020</risdate><volume>41</volume><issue>2</issue><spage>322</spage><epage>327</epage><pages>322-327</pages><issn>1559-047X</issn><eissn>1559-0488</eissn><abstract>Abstract
The management of pain and sedation during burn dressing change is challenging. Previous reviews and studies have identified wide variability in such practices in hospitalized burn patients. This survey-based study aimed to determine the most commonly utilized sedation and analgesia practices in adult burn patients treated in the outpatient setting. The goal was to identify opportunities for improvement and to assist burn centers in optimizing sedation procedures. A 23-question survey was sent to members of the American Burn Association. Nonpharmacological interventions including music, television, games, and virtual reality were used by 68% of survey respondents. Eighty-one percent reported premedicating with oral opioids, 32% with intravenous opioids, and 45% with anxiolytics. Fifty-nine percentage of respondents indicated that the initial medication regimen for outpatient dressing changes consisted of the patient's existing oral pain medications. Forty-three percent indicated that there were no additional options if this regimen provided inadequate analgesia. Fifty-six percentage of respondents felt that pain during dressing change was adequately controlled 75% to 100% of the time, and 32% felt it was adequately controlled 50% to 75% of the time. Nitrous oxide was used by 8%. Anesthesia providers and an acute pain service are available in a minority of cases (13.7% and 28%, respectively) and are rarely consulted. Procedural burn pain remains significantly undertreated in the outpatient setting and the approach to treatment is variable among burn centers in the United States. Such variation likely represents an opportunity for identifying and implementing optimal practices and developing guidelines for burn pain management in the outpatient setting.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>31541245</pmid><doi>10.1093/jbcr/irz164</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9710-4161</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1559-047X |
ispartof | Journal of burn care & research, 2020-02, Vol.41 (2), p.322-327 |
issn | 1559-047X 1559-0488 |
language | eng |
recordid | cdi_proquest_miscellaneous_2336992180 |
source | Oxford University Press Journals All Titles (1996-Current) |
title | Sedation and Analgesia for Adult Outpatient Burn Dressing Change: A Survey of American Burn Association Centers |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T21%3A45%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sedation%20and%20Analgesia%20for%20Adult%20Outpatient%20Burn%20Dressing%20Change:%20A%20Survey%20of%20American%20Burn%20Association%20Centers&rft.jtitle=Journal%20of%20burn%20care%20&%20research&rft.au=Voss,%20Jordan%20K&rft.date=2020-02-19&rft.volume=41&rft.issue=2&rft.spage=322&rft.epage=327&rft.pages=322-327&rft.issn=1559-047X&rft.eissn=1559-0488&rft_id=info:doi/10.1093/jbcr/irz164&rft_dat=%3Cproquest_cross%3E2336992180%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2336992180&rft_id=info:pmid/31541245&rft_oup_id=10.1093/jbcr/irz164&rfr_iscdi=true |