Treatment of Pain in Burned Children.
Burns make a significant contribution to paediatric hospital admissions and the child with burns suffers severe pain at the time of the burn and during subsequent treatment and rehabilitation. The large bum (greater than 20%) alters physiological conditions by inducing a massive sympathetic outflow...
| Publicado en: | Informe Medico Vol. 11; no. 4; pp. 237 - 241 |
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| Formato: | Artículo |
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Informe Medico de Venezuela, C.A.
abr2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=44498737&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 44498737 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 13169688 E0C jtl: Informe Medico issn: 13169688 maglogo: N pubinfo: dt: abr2009 vid: 11 iid: 4 pid: 11179 pub: Informe Medico de Venezuela, C.A. artinfo: ui: 44498737 ppf: 237 ppct: 4 formats: fmt: @attributes: type: P size: 358KB tig: atl: Treatment of Pain in Burned Children. aug: au: Ferreira, A. affil: Department of Anesthesia - Maria Pia Hospital, Portugal su: Burns & scalds Children's hospitals Hospital admission & discharge Morphine Narcotics Alternative medicine sug: subj: Burns & scalds Children's hospitals Hospital admission & discharge Morphine Narcotics Alternative medicine keyword: AINES Alternative therapies Burned child Burnings Opiates AINES Niño quemado Opiáceos Quemaduras Terapias alternativas ab: Burns make a significant contribution to paediatric hospital admissions and the child with burns suffers severe pain at the time of the burn and during subsequent treatment and rehabilitation. The large bum (greater than 20%) alters physiological conditions by inducing a massive sympathetic outflow mediated by the hypothalamus, with extreme elevation in catecholamines, insulin, growth hormone, antidiuretic hormone, beta-endorphin, aldosterone, glucagon, thyroxine, and interleukins. It is very important to develop preventive interventions for children after an acute burn. Children with burns develop mood anxiety, sleep, conduct, learning, and attention problems. Between 25 and 33% of burn-injured children eventually develop posttraumatic stress (PTSD), and over 50% display some posttraumatic symptoms. The dose of morphine received by a child in the hospital after a burn injury is significantly related to a reduction in posttraumatic stress disorder (PTSD) symptoms over 6 months. Pharmacological approaches are the mainstay of treatment and will incorporate different strategies; among intervention strategies are cognitive behavioural therapy, relaxation training, hypnosis, guided imagery, biofeedback, distraction, art, music, and play therapies. Massage, acupressure, application of ice and heat and therapeutic touch are also used in a complementary way. Drugs for ameliorating pain and anxiety in burned children are NSAIDs, COX-2 inhibitors, opiates, benzodiazepines, sedative-hypnotics, neuroleptics and antidepressants. Occasionally, analgesia can be provided by regional blockade. Las quemaduras contribuyen significativamente a las admisiones en los hospitales pediátricos y los niños con quemaduras sufren dolor severo en el momento de la quemadura y durante el subsiguiente tratamiento y rehabilitación. Las grandes quemaduras (mayores del 20%) alteran las condiciones fisiológicas al inducir una respuesta simpática masiva, mediada por el hipotálamo, con elevación de catecolaminas, insulina, hormona del crecimiento, hormona antidiurética, beta endorfinas, aldosterona, glucagon, tiroxina e interleucinas. Es importante desarrollar intervenciones preventivas en al niño con quemadura aguda. Los niños con quemaduras presentan problemas de estado de ánimo, ansiedad, sueño, conducta, aprendizaje y atención. Entre 25 y 33% de los niños con lesiones por quemaduras desarrollan sindrome de estrés postráumatico (SPT), y más del 50% presentan algunos sintomas de SPT después de seis meses de evolución. El tratamiento farmacológico es el pilar de la terapia y debe incorporar distintas estrategias. Entre las estrategias de intervención están la terapia cognitiva, entrenamiento en relajación, hipnósis, imaginación guiada, biofeedback, distracción, arte, música y terapia de juegos. El masaje, la acupresión, aplicación de hielo y calor; asi como contacto terapéutico son usadas de forma complementaria. Las drogas usadas para aliviar el dolor y la ansiedad en el niño quemado son los AINES, inhibidores Cox-2, opiáceos, benzodiazepinas, hipnóticos, sedantes, neurolépticos y antidepresivos. Ocasionalmente, la analgesia puede establecerse con bloqueo regional. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Informe Medico is the property of Informe Medico de Venezuela, C.A. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Informe Medico holder: Informe Medico de Venezuela, C.A. dt: @attributes: year: 2009 holdings: @attributes: islocal: N |
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