448 pain protocol for the use of enzymatic debridement in burns care

M Harats, RA Kornhaber, G Trodler, Y Shoham, J Haik

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Introduction
Burn pain present a great challenge to the clinicians. Inadequate pain control in burns trauma has negative implications that can result in the development of chronic pain, acute and post-traumatic stress disorders and depression. The implementation of evidenced based burn pain management has a positive impact on both burn clinicians and their patients. Understanding the nature of the complexity of burn pain involving the use of Bromelain based enzymatic debridement requires attention to facilitates best practice.
Methods
Based on our clinical experience during the past 3 years of routine use of Bromelain enzymatic debridement, a pain protocol was developed and adjusted to meet the specific needs of this burn cohort. The revised pain protocol addresses local, regional and general use of analgesia and sedation taking into consideration the extent of the burn and TBSA%, anatomical location of the burn and the patient’s medical status. The protocol also takes into consideration the three phases of required pain management: pre-procedural, intra procedural and post treatment / breakthrough pain control.
Results
Implementation of a pain protocol for the use of enzymatic debridement in burns care yielded a reduction in VAS pain scores, improved pain control, comfort and clear clinical guidelines.
Conclusions
Our pain protocol for the use of enzymatic debridement provides clear, concise guidelines and recommendations for burn clinicians for the treatment of pain in acute burn patients.
Applicability of Research to Practice
The developed of a pain management protocol for the use of enzymatic debridement facilitates management of complex pain associated with burn injury.
Original languageEnglish
Pages (from-to)S197-S197
Number of pages1
JournalJournal of Burn Care and Research
Volume39
Issue numbersuppl 1
DOIs
Publication statusPublished - 2018

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