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Continuing Education in Anaesthesia Critical Care and Pain | Volume 4 Number 2 | 2004
© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Pain in the patient with burns

Aidan T Norman, MB ChB FRCA, Specialist Registrar in Anaesthesia
Department of Anaesthesia, Pinderfields Hospital, Wakefield

Keith C Judkins, MB ChB FRCA, Consultant Anaesthetist and Trust Medical Director
Mid Yorkshire Hospitals NHS Trust HQ, Rowan House, Aberford Road, Wakefield, WF1 4EE
Tel: 01924 212240, Fax: 01924 814929, E-mail: keith.judkins{at}midyorks.nhs.uk (for correspondence)

Thermal injury can be one of the most painful and disfiguring forms of trauma, as it affects the skin, the largest and most visible organ. The National Burn Care Review (British Burn Association, 2001) determined that as many as 500,000 people suffer a burn injury each year in the UK. Most are minor. Around 13,000 people, of which 45% are children, are admitted to hospital; only a small proportion have severe injuries requiring resuscitation.

Burns anaesthesia and, when required, intensive care can form a significant part of the anaesthetic workload in the hospital with a burn centre. An appreciation of analgesia management related to the pathophysiology of the burn is also important, and the role of the anaesthetist in supporting analgesia for burn patients is crucial. The generalist anaesthetist cannot escape entirely, as patients with burns present initially at local hospitals; the early management of pain can have a significant impact on the pain experience thereafter.


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