医学
模式治疗法
疼痛管理
重症监护医学
病因学
伤害
心理干预
神经病理性疼痛
烧伤
生活质量(医疗保健)
慢性疼痛
麻醉
物理疗法
外科
受体
内科学
护理部
精神科
作者
Kevin M. Klifto,C. Scott Hultman
标识
DOI:10.1016/j.cps.2023.11.004
摘要
Burn-related pain can contribute to decreased quality of life and long-term morbidity, limiting functional recovery. Burn-related pain should be assessed first by chronicity (acute or chronic), followed by type (nociceptive, neuropathic, nociplastic), to guide multimodal pharmacologic management in a stepwise algorithm approach. Combination therapies increase the efficacy and reduce toxicity by offering a multimodal approach that targets different receptors in the peripheral nervous system and central nervous system. When multimodal pharmacologic management is ineffective, etiologies of burn-related pain amenable to surgical interventions must be considered. It is important to know when to refer a patient to pain management.
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