Acetaminophen in the management of background pain in children post-burn

Walter Meyer, Ray J. Nichols, Joaquin Cortiella, Cynthia Villarreal, Janet A. Marvin, Patricia E. Blakeney, David Herndon

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

This retrospective review evaluated the pain management of 395 acutely burned pediatric patients who were treated by a pain management protocol emphasizing acetaminophen as the initial medication to control background pain. Pain was assessed by using standardized instruments based on observations by patients, nurses, and parents. Morphine was added when scheduled acetaminophen (10- 15 mg/kg/4 hr) did not control background pain. Fifty percent of the children received only acetaminophen to control background pain. Younger children and children with the smallest burns, regardless of age, were likely to be managed with acetaminophen alone. Most peak serum concentrations of acetaminophen were less than 10 μg/mL. When needed, children also received medication for painful procedures, anxiety, and posttraumatic stress symptoms. These additional medications were not more frequently given to children receiving only acetaminophen for background pain. These data suggest that acetaminophen is a safe, useful medication for the control of post-burn background pain in some children.

Original languageEnglish (US)
Pages (from-to)50-55
Number of pages6
JournalJournal of Pain and Symptom Management
Volume13
Issue number1
DOIs
StatePublished - Jan 1997

Fingerprint

Pain Management
Acetaminophen
Burns
Pain
Morphine
Anxiety
Parents
Nurses
Pediatrics
Serum

Keywords

  • Acetaminophen
  • adolescents
  • background pain
  • burn
  • children
  • morphine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Meyer, W., Nichols, R. J., Cortiella, J., Villarreal, C., Marvin, J. A., Blakeney, P. E., & Herndon, D. (1997). Acetaminophen in the management of background pain in children post-burn. Journal of Pain and Symptom Management, 13(1), 50-55. https://doi.org/10.1016/S0885-3924(96)00201-1

Acetaminophen in the management of background pain in children post-burn. / Meyer, Walter; Nichols, Ray J.; Cortiella, Joaquin; Villarreal, Cynthia; Marvin, Janet A.; Blakeney, Patricia E.; Herndon, David.

In: Journal of Pain and Symptom Management, Vol. 13, No. 1, 01.1997, p. 50-55.

Research output: Contribution to journalArticle

Meyer, W, Nichols, RJ, Cortiella, J, Villarreal, C, Marvin, JA, Blakeney, PE & Herndon, D 1997, 'Acetaminophen in the management of background pain in children post-burn', Journal of Pain and Symptom Management, vol. 13, no. 1, pp. 50-55. https://doi.org/10.1016/S0885-3924(96)00201-1
Meyer, Walter ; Nichols, Ray J. ; Cortiella, Joaquin ; Villarreal, Cynthia ; Marvin, Janet A. ; Blakeney, Patricia E. ; Herndon, David. / Acetaminophen in the management of background pain in children post-burn. In: Journal of Pain and Symptom Management. 1997 ; Vol. 13, No. 1. pp. 50-55.
@article{530f1492eb464063b3c1847a302928b5,
title = "Acetaminophen in the management of background pain in children post-burn",
abstract = "This retrospective review evaluated the pain management of 395 acutely burned pediatric patients who were treated by a pain management protocol emphasizing acetaminophen as the initial medication to control background pain. Pain was assessed by using standardized instruments based on observations by patients, nurses, and parents. Morphine was added when scheduled acetaminophen (10- 15 mg/kg/4 hr) did not control background pain. Fifty percent of the children received only acetaminophen to control background pain. Younger children and children with the smallest burns, regardless of age, were likely to be managed with acetaminophen alone. Most peak serum concentrations of acetaminophen were less than 10 μg/mL. When needed, children also received medication for painful procedures, anxiety, and posttraumatic stress symptoms. These additional medications were not more frequently given to children receiving only acetaminophen for background pain. These data suggest that acetaminophen is a safe, useful medication for the control of post-burn background pain in some children.",
keywords = "Acetaminophen, adolescents, background pain, burn, children, morphine",
author = "Walter Meyer and Nichols, {Ray J.} and Joaquin Cortiella and Cynthia Villarreal and Marvin, {Janet A.} and Blakeney, {Patricia E.} and David Herndon",
year = "1997",
month = "1",
doi = "10.1016/S0885-3924(96)00201-1",
language = "English (US)",
volume = "13",
pages = "50--55",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Acetaminophen in the management of background pain in children post-burn

AU - Meyer, Walter

AU - Nichols, Ray J.

AU - Cortiella, Joaquin

AU - Villarreal, Cynthia

AU - Marvin, Janet A.

AU - Blakeney, Patricia E.

AU - Herndon, David

PY - 1997/1

Y1 - 1997/1

N2 - This retrospective review evaluated the pain management of 395 acutely burned pediatric patients who were treated by a pain management protocol emphasizing acetaminophen as the initial medication to control background pain. Pain was assessed by using standardized instruments based on observations by patients, nurses, and parents. Morphine was added when scheduled acetaminophen (10- 15 mg/kg/4 hr) did not control background pain. Fifty percent of the children received only acetaminophen to control background pain. Younger children and children with the smallest burns, regardless of age, were likely to be managed with acetaminophen alone. Most peak serum concentrations of acetaminophen were less than 10 μg/mL. When needed, children also received medication for painful procedures, anxiety, and posttraumatic stress symptoms. These additional medications were not more frequently given to children receiving only acetaminophen for background pain. These data suggest that acetaminophen is a safe, useful medication for the control of post-burn background pain in some children.

AB - This retrospective review evaluated the pain management of 395 acutely burned pediatric patients who were treated by a pain management protocol emphasizing acetaminophen as the initial medication to control background pain. Pain was assessed by using standardized instruments based on observations by patients, nurses, and parents. Morphine was added when scheduled acetaminophen (10- 15 mg/kg/4 hr) did not control background pain. Fifty percent of the children received only acetaminophen to control background pain. Younger children and children with the smallest burns, regardless of age, were likely to be managed with acetaminophen alone. Most peak serum concentrations of acetaminophen were less than 10 μg/mL. When needed, children also received medication for painful procedures, anxiety, and posttraumatic stress symptoms. These additional medications were not more frequently given to children receiving only acetaminophen for background pain. These data suggest that acetaminophen is a safe, useful medication for the control of post-burn background pain in some children.

KW - Acetaminophen

KW - adolescents

KW - background pain

KW - burn

KW - children

KW - morphine

UR - http://www.scopus.com/inward/record.url?scp=0031052038&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031052038&partnerID=8YFLogxK

U2 - 10.1016/S0885-3924(96)00201-1

DO - 10.1016/S0885-3924(96)00201-1

M3 - Article

VL - 13

SP - 50

EP - 55

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 1

ER -