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Papers of the Week

Papers: 2 Mar 2024 - 7 Mar 2024

2024 Apr

Clin Plast Surg




Pain Management in Burn Patients: Pharmacologic Management of Acute and Chronic Pain.


Klifto KM, Hultman CS


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.