Management of Pain and Other Discomforts in Burned Patients

Walter J. Meyer, J. A. Jeevendra Martyn, Shelley Wiechman, Christopher R. Thomas, Lee Woodson

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


Although a multidisciplinary approach including nonpharmacological modes of management are essential, pharmacological treatment remains the cornerstone of pain control in patients with burn injuries. Drug and dose selection must be made in the context of systemic changes that evolve over time and alter pharmacokinetics and pharmacodynamics. Opioids are the mainstay of therapy but are associated with certain adverse effects such as opiate induced hyperalgesia. A newly appreciated problem. neuropathic pain, is characterized by burning and itching in the areas of newly regenerating skin and at amputation site. Effective pharmacological analgesia requires the concomitant treatment of anxiety, depression and PTSD with anxiolytics and antidepressants to control the pain syndrome following burn injury. Pain protocols facilitate the systematic pain management. New non pharmacologic approaches such as virtual reality now have demonstrated effectiveness. Burn pain comprises background, breakthrough, procedural and postoperative pain. Each type of pain requires different drugs, doses, or strategies.

Original languageEnglish (US)
Title of host publicationTotal Burn Care, Fifth Edition
ISBN (Electronic)9780323476614
ISBN (Print)9780323497428
StatePublished - Jan 1 2017


  • Burn pain classification
  • Itch
  • NMDA receptors
  • Opiate induced hyperalgesia
  • Opiates for burn pain
  • Sedation for procedural pain

ASJC Scopus subject areas

  • General Medicine


Dive into the research topics of 'Management of Pain and Other Discomforts in Burned Patients'. Together they form a unique fingerprint.

Cite this