The Pediatric Burn: Current Trends and Future Directions

David Preston; Aditee Ambardekar

doi:10.1016/j.anclin.2020.05.003

The Pediatric Burn: Current Trends and Future Directions

Anesthesiol Clin. 2020 Sep;38(3):517-530. doi: 10.1016/j.anclin.2020.05.003. Epub 2020 Jul 15.

Authors

David Preston¹, Aditee Ambardekar²

Affiliations

¹ Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA.
² Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA. Electronic address: aditee.ambardekar@utsouthwestern.edu.

PMID: 32792181
DOI: 10.1016/j.anclin.2020.05.003

Abstract

Management of the pediatric burn patient presents a variety of clinical challenges for the pediatric anesthesiologist. Despite the high incidence of burn injuries, standard management strategies are far from universal. The complex physiologic changes presented by burn injuries present airway management and resuscitation challenges and mandate careful consideration of adequate nutritional support. Long hospital stays with frequent operations and dressing changes necessitate creative approaches to anxiolysis and pain control. Underutilized modalities warranting further research include regional anesthesia and nonpharmacologic approaches, such as virtual reality. Further research and collaboration between burn centers are needed to standardize care for this population.

Keywords: Analgesia; Anesthesia; Anxiolysis; Pediatric burn; Resuscitation.

Publication types

Review

MeSH terms

Analgesia / methods*
Anesthesia / methods*
Burns / complications*
Burns / therapy*
Child
Humans
Pain / drug therapy*
Pain / etiology*