Pediatric Burns (fire/flame)
Date Last Search Run: Jan 14, 2025
Table last updated: May 02, 2021
Data last added: Jul 15, 2021
Recommendation
RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION
 
SUPPORTIVE (Green)
NEUTRAL (Yellow)
AGAINST (Red)
NOT YET GRADED (White)
1 (strong evidence exists)
Analgesia (narcotic)
 
 
Crystalloid Fluid
Dry Dressing
IV access
Oxygen
2 (fair evidence exists)
Nitrous Oxide
 
 
3 (weak evidence exists)
 
Methoxyflurane (Penthrox)
 
Interventions
Analgesia (narcotic)
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
I
Supportive (Green)
Analgesia
Patient
ED-MD
Borland M., Jacobs I., King B., O'Brien D. A RCT comparing intranasal fentanyl to intravenous morphine for managing acute pain in children in the ED. Ann Emerg Med 2007; 49:335-40.
Medline
Crystalloid Fluid
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
Dry Dressing
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
IV access
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
Methoxyflurane (Penthrox)
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
III
Neutral (Yellow)
methoxyfluorane for burn care in paediatrics
Patient
In-Patient
Wellbeloved MA, Parkhurst R, Keeling KH. Efficacy of inhaled methoxyflurane for procedural analgesia in paediatric burns: A pilot study. Southern African J of Anaesthesia and Analgesia 2020; 26(5):235-9.
Medline
Nitrous Oxide
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
II
Supportive (Green)
Analgesia
Patient
PH-Paramedic
McKinnon KDL. Prehospital analgesia with nitrous oxide/oxygen. CMA Journal 1981; 125:836-40.
Medline
III
Supportive (Green)
Depth of sedation
Process
ED-MD
Babl FE., et al. High-concentration nitrous oxide for procedural sedation in children: adverse events and depth of sedation. Pediatrics 2007:121-e528-32.
Pediatrics
Oxygen
Level
Direction
Primary Outcome
Patient/Process
Setting
Reference
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