title: The management of pain associated with wound care in severe burn patients in Spain.
abstract: OBJECTIVE
  To describe the management of pain prevention associated with burn care.
  
  
  METHODS
  Multi-centre, observational, cross-sectional, descriptive study performed in 4 burn units in Spain.
  
  
  RESULTS
  A total of 55 patients undergoing 64 procedures were analysed. Burns were classified as severe (90.4%), third-degree (78.2%) and caused by thermal agents (81.8%). Background analgesia consisted of non-opioid drugs (87.5%) and opioids (54.7%) [morphine (20.3%), morphine and fentanyl (14.1%) or fentanyl monotherapy (15.6%)]. Burn care was performed by experienced nurses (96.9%); 36.5% followed guidelines. The mean duration of procedures was 44 minutes (Statistical Deviation, SD: 20.2) and the mean duration of pain was 27 minutes (SD: 44.6). Procedural pain was primarily managed with opioid analgesics: fentanyl monotherapy and in combination (84%) and fentanyl monotherapy (48%) administered sublingually (89.1%). Patients described pain as different to usual baseline pain (97%), with a mean maximum intensity score of 4.2 points (SD: 3.3) on the VAS scale and a 34% increase in the intensity of pain. The mean patient and healthcare professional satisfaction score per procedure was 6/10 (SD: 1.9) and 5.5/10 (SD: 1.7), respectively.
  
  
  CONCLUSIONS
  The results of the study describe the management of pain associated with burn care in clinical practice, helping optimise pain control.
authors.affiliation: H. Arrixaca. Ctra Madrid-Cartagena, s/n El Palmar 30120, Murcia, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Mendoza
authors.affiliation: H. Arrixaca. Ctra Madrid-Cartagena, s/n El Palmar 30120, Murcia, Spain.
authors.forename: Fernando L
authors.initials: FL
authors.lastname: Santoyo
authors.affiliation: H. Miguel Servet. Paseo Isabel la Catolica, 1-3 Zaragoza 50009, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Agulló
authors.affiliation: H. de Getafe. Carretera de Toledo, km 12,500 Getafe 28905, Madrid, Spain.
authors.forename: José L
authors.initials: JL
authors.lastname: Fenández-Cañamaque
authors.affiliation: H. La Fe. Avenida Fernando Abril Martorell, 106 València 46026, Valencia, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Vivó
keywords: Burns; analgesia; pain management; wounds