Pruritus in burns: review article.
Pruritus represents a common and distressing feature of burn wounds. Over the last decades, significant advances in neuroanatomical and neurophysiological knowledge have resulted in the elucidation of the mediators and pathways involved in the transmission of pruritic impulses. A plethora of therapeutic approaches have been evaluated mostly in small-scale studies involving burns patients targeting both the peripheral and the central components of the neurologic pathway. Antihistamines, doxepin, massage therapy, and transcutaneous electrical nerve stimulation are effective strategies to combat pruritus in burns patients. Recent studies have provided preliminary evidence regarding the effectiveness of gabapentin and ondansetron. The area of burns pruritus is under-researched and large-scale studies are required to reinforce the armamentarium of specialists with evidence-based regimens for the treatment of this highly distressing symptom.
Goutos
Ioannis
I
Plastic Surgery Department, Stoke Mandeville Hospital, Buckinghamshire, United Kingdom.
Dziewulski
Peter
P
Richardson
Patricia M
PM
D000779:Anesthetics, Local / Q000627:therapeutic use; D001458:Bandages; D002056:Burns / Q000150:complications*; D019317:Evidence-Based Medicine; D006633:Histamine Antagonists / Q000627:therapeutic use; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008405:Massage; D011537:Pruritus / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D004561:Transcutaneous Electric Nerve Stimulation
D000779:Anesthetics, Local; D006633:Histamine Antagonists