Pain assessment and clinical profile of burn patients

Background:Burn injuries are a major global public health concern with up to 52% of burn patients suffering from chronic pain. Theaim of the study was to assesclinical profile and management of pain in burn patients.Methods:Thestudy was aprospectivehospital-basedstudy on a total of 300 patients admittedinburnunitofthedepartmentofsurgery over a period of two years. BSA burns was determined by Wallace's rule of nine in adults and in children by Lund and Browder chart. Pain was assessed using Wong-Baker FACES pain rating scale. Statistical analysis was done using SPSS program.Results:In the present study, most of the burns i.e., 46.7% were seen in <20 years age group, and more in male (58.7%) subjects. Accidental burns and superficial burns were the most common. There were 113 (53.3%) patients with pain score of 2 followed by 160 (53.3%) with pain score 3, 22 (7.3%) pain score 4 and 5(1.7%) with pain score of 1. For pain management, 171(57%) patients were given NSAIDS, 78 (26%) needed opioid and NSAIDs and 51 (17%) needed opioid only. Complications in our studied patients on follow up revealed 29 (9.7%) had PTSD, 22 (7.3%) had post burn contracture,16 (5.3%) had post burn pain, 15 (5.0%) were having anxiety.Conclusions:Pain in burn victims is present throughout the rehabilitation and so should be dealt with multimodal specialties.

Clinical Profile Of Patients With Perforation Peritonitis.

Background: Peritonitis is common surgical emergency in which there occurs inflammation of peritoneum and peritoneal cavity. It is associated with increased morbidity and mortality. So the aim of the study was to evaluate the clinico-etiological profile of perforation peritonitis in our setting. Methods: This study was conducted in a tertiary care centre of Kashmir, over a period of 2 years in which 100 patients diagnosed with perforation peritonitis were serial evaluated. Results: In our study the dominant gender involved was male sex(68%). Mean age of study population was 34.12 years. The most common age group involved was 21-40 years (44%) . Abdominal pain was the commonest presenting symptoms (100%), followed by nausea and vomiting (88%). The commonest site of pathology was gastroduodenal region (50%) and peptic ulcer disease was the most common aetiology confirmed. Conclusion: Patients presenting to our emergency clinic with such clinical profile should be recognised promptly so as to rapidly develop a plan for further management and put our resources at best use.