Adult and pediatric pain management for burn injuries: A global survey of burn care providers.

Abstract

The practice of pain management for burn injuries may vary by region or socioeconomic status. This study aimed to assess current pain management practices in burn patients globally. An online survey regarding the availability and use of drugs for burn pain management was sent to members of the International Society for Burn Injuries (ISBI) via email and shared in WhatsApp groups comprised of burn professionals. The primary outcome was to provide a cumulative representation of the current state of burn pain management globally. 113 surveys were completed, with half of respondents from high-income countries (HICs). Most respondents treat both adult and pediatric patients (65 %). The most used analgesic for background pain for all burn sizes is paracetamol, with HICs using it more often than other countries for large and small burn sizes (p = 0.03 and 0.02). Oral and intravenous (IV) opioids are more often used in HICs for all burn sizes in adult patients. Respondents having a protocol for pain management or being aware of pain guidelines reported better perceived pain control for their patients. Pain management for burn injuries varies by country socioeconomic status and drug availability. Perception of adequate pain control is associated with socioeconomic status, availability of drugs, and having a pain protocol.