1. 2.2.9. Why is there obvious pain on the superficial burns wound in early stage and after the removal of the blister wall, or on deep burns wound 7 to 20 days post burns and How to treat?
    • 2010/10/25 11:38:53
    Pain is the major clinical symptom for I degree and superficial II degree burns. Pain is caused by the exposure of nerve endings and pain receptors after the epidermal injury and also hyperalgesia and sensitivity of sense of pains due to the production of vast amount of proinflammatory factors and pain-producing factors. In the early stage of deep burns (deep II degree and III degree burns), the nerve endings and pain receptors are necrosis, causing the hypalgesia or anodynia. After standard treatment with MEBT/MEBO for 7- 20 days, nerve endings and pain receptors are restored by regeneration, but burns wound is unhealed, thus there are still pains on wound.  
    In that case, wound treatment should strictly follow the clinical criterion of MEBT/MEBO. Gentle dress changing should be carried out while preventing the wound from the irritating factors; psychotherapy can also be applied for severe pains, with common sedatives and acesodyne applied 30 minutes before dress changing if necessary.