Effectiveness of a Topical Application in Reducing Pain in Children Within the Early Management of the Acute Paediatric Burn; a Randomised Controlled Trial.
- Conditions
- BurnPainInjuries and Accidents - Burns
- Registration Number
- ACTRN12617001274369
- Lead Sponsor
- ady Cilento Children's Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 72
Children recruited into the study will age between 0 – 16 years that have acquired an acute thermal burn injury that is below 20% of the Total Body Surface Area (TBSA). The child must present to the emergency department or burns outpatient department within 24 hours of sustaining the injury, and have no silver dressing application prior to this admission.
Children outside of the age group will be excluded from the study along with if their mechanism is on e of the following causes; chemical, electrical, inhalation, or friction; children who do not arrive within 24 hours of sustaining their acute burn injury; children who received prior treatment of a silver dressing; are non English speaking; children with cognitive impairments; ventilated or require initial wound care in theatre for debridement or grafting; current involvement with the Department of Communities (child safety); have co-morbidities that would potentially impair would healing (e.g. diabetes) or that may exacerbate itch and pain. Apart from which type of dressing the child is receiving prior to the application of silver, all participants will receive the standard medical care as would those not in the trial.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Composite Pain intensity will be assessed prior, during, and post application of the Burnaid or plastic wrap using three age specific scales, allowing assessment of pain and distress;<br> 1) child self-report using the Faces Pain Scale – Revised (FPS-R) for children ages 3 years and older; <br>2) Faces, Legs, Activity, Cry, and Consolability Scale (FLACC) for parents/guardians and nursing staff.<br> 3) Visual Analogue Scale for Pain (VAS-P) for children aged 8 years and older and observer VAS (VASobs) for parent/guardian reports. [Pain scores will be measured during the acute phase of the burn. FLACC, VAS and FPS-R will all be taken at three main time points<br>1. Post CRW /Pre Burnaid or plastic wrap application<br>2. During Burnaid or plastic wrap application<br>3. Post removal of the Burnaid or plastic wrap ]
- Secondary Outcome Measures
Name Time Method