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Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series

Pediatric burns are a common and often devastating injury. Treatment, reconstruction, and rehabilitation are painful experiences. For some, the experience triggers post-traumatic stress disorder and/or a chronic pain syndrome. Given the role pain plays as a major secondary disease, it must be addres...

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Autores principales: Richman, Michael, Berman, Jeffrey M, Ross, Elizabeth M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608680/
https://www.ncbi.nlm.nih.gov/pubmed/34853768
http://dx.doi.org/10.7759/cureus.19063
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author Richman, Michael
Berman, Jeffrey M
Ross, Elizabeth M
author_facet Richman, Michael
Berman, Jeffrey M
Ross, Elizabeth M
author_sort Richman, Michael
collection PubMed
description Pediatric burns are a common and often devastating injury. Treatment, reconstruction, and rehabilitation are painful experiences. For some, the experience triggers post-traumatic stress disorder and/or a chronic pain syndrome. Given the role pain plays as a major secondary disease, it must be addressed to achieve optimal healing. Regional anesthesia has been used extensively to manage postoperative pain and reduce the need for opioids following other surgical procedures in children. However, regional anesthesia is not widely used in pediatric burn care. We present a descriptive, retrospective case series of 15 pediatric burn patients who received regional anesthesia as part of their intra-operative pain management. In our patient population, we saw low levels of anesthetic as well as opioid usage with well-controlled pain. In this cohort, 93% of patients scored a 0/10 on the Face, Legs, Activity, Cry and Consolability (FLACC) scale for pain by post-anesthesia care unit (PACU) discharge, with an average PACU stay of 70 minutes. Thirty-three percent of patients received no opioids, with the average opioid dose being 0.06mg/kg morphine equivalents. This case series serves to make clinicians aware of the feasibility of use and benefits of regional anesthesia in pediatric burn patients requiring operative repair.
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spelling pubmed-86086802021-11-30 Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series Richman, Michael Berman, Jeffrey M Ross, Elizabeth M Cureus Anesthesiology Pediatric burns are a common and often devastating injury. Treatment, reconstruction, and rehabilitation are painful experiences. For some, the experience triggers post-traumatic stress disorder and/or a chronic pain syndrome. Given the role pain plays as a major secondary disease, it must be addressed to achieve optimal healing. Regional anesthesia has been used extensively to manage postoperative pain and reduce the need for opioids following other surgical procedures in children. However, regional anesthesia is not widely used in pediatric burn care. We present a descriptive, retrospective case series of 15 pediatric burn patients who received regional anesthesia as part of their intra-operative pain management. In our patient population, we saw low levels of anesthetic as well as opioid usage with well-controlled pain. In this cohort, 93% of patients scored a 0/10 on the Face, Legs, Activity, Cry and Consolability (FLACC) scale for pain by post-anesthesia care unit (PACU) discharge, with an average PACU stay of 70 minutes. Thirty-three percent of patients received no opioids, with the average opioid dose being 0.06mg/kg morphine equivalents. This case series serves to make clinicians aware of the feasibility of use and benefits of regional anesthesia in pediatric burn patients requiring operative repair. Cureus 2021-10-26 /pmc/articles/PMC8608680/ /pubmed/34853768 http://dx.doi.org/10.7759/cureus.19063 Text en Copyright © 2021, Richman et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Richman, Michael
Berman, Jeffrey M
Ross, Elizabeth M
Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title_full Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title_fullStr Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title_full_unstemmed Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title_short Regional Anesthesia Use in Pediatric Burn Surgery: A Descriptive Retrospective Series
title_sort regional anesthesia use in pediatric burn surgery: a descriptive retrospective series
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608680/
https://www.ncbi.nlm.nih.gov/pubmed/34853768
http://dx.doi.org/10.7759/cureus.19063
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