RESUMO
Pain control is a major issue concerning children admitted for burns. Pain and anxiety associated with twice daily wound cleansing and dressing changes are difficult to control, especially if there is no intravenous access. We explored the effectiveness of intranasal midazolam (INM) combined with intravenous and/or oral pain medications prior to painful treatments. Charts of all patients admitted from October 1995 to November 1996 under the age of 9 were reviewed for use of INM. Twelve patients had INM used at some point during their hospitalization. Our study covers this group, with each child acting as his/her own control. Pain and response to medication during wound cleansing was assessed by the nursing staff as documented in the patient's nursing assessment. Nursing documentation indicated that patient response was positive regarding the use of INM with intravenous and/or oral pain medication.
Assuntos
Analgésicos/administração & dosagem , Queimaduras/complicações , Hipnóticos e Sedativos/administração & dosagem , Midazolam/administração & dosagem , Dor/tratamento farmacológico , Dor/etiologia , Administração Intranasal , Administração Oral , Criança , Pré-Escolar , Quimioterapia Combinada , Feminino , Humanos , Lactente , Injeções Intravenosas , Escala de Gravidade do Ferimento , Masculino , Medição da Dor , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Much progress has been made toward the development of artificial skin replacement products. Continued research promises to bring more products to the marketplace, and each new product seems to develop a niche in the field of skin replacement. However, although each skin replacement product has unique properties and advantages, nothing works as well as a patient's own skin. Clinicians can only hope for an off-the-shelf skin replacement product that can be applied to a wound and yield a permanent, dependable dermis and epidermal skin replacement for all patients.
Assuntos
Queimaduras/terapia , Transplante de Pele , Pele Artificial , Humanos , Seleção de Pacientes , Fatores de Risco , Úlcera Cutânea/terapia , CicatrizaçãoRESUMO
"Fishing for Burn Prevention" is an interactive educational burn and fire safety program designed to stimulate family involvement at health fairs, and it provides an alternative to handing out safety information. The program attracts preschoolers through preteens and is staffed by burn center personnel. The design consists of a small pool, a wooden fishing rod, several cutout fish, and hook-and-loop fasteners. Words that will stimulate interaction between the presenter and the participant are written on the fish; these can include "smoke detector," "cool the burn," "fire escape plan," "matches," "grease fire," and "120 degrees F." Providing an interactive, hands-on activity at health fairs can increase burn and fire safety awareness for the entire family.
Assuntos
Queimaduras/prevenção & controle , Incêndios/prevenção & controle , Exposições Educativas , Segurança , Criança , Pré-Escolar , Família , HumanosRESUMO
We have presented a case of fulminating TEN with a fatal outcome. We believe there is strong probability that the TEN was caused by a propionic acid NSAID oxaprozin. This is the first reported case of TEN related to this particular agent. Toxic epidermal necrolysis has been reported with all types of NSAIDs. It appears from this case that switching from one class of nonsteroidal anti-inflammatories to another is not always without risk. Despite the class of nonsteroidal anti-inflammatory agent used, the possibility of systemic reaction cannot be excluded.
