{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T21:14:05Z","timestamp":1791062045512,"version":"4.1.0"},"reference-count":137,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:00:00Z","timestamp":1599177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1 TR001860"],"award-info":[{"award-number":["UL1 TR001860"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The ABA pain guidelines were developed 14 years ago and have not been revised despite evolution in the practice of burn care. A sub-committee of the American Burn Association\u2019s Committee on the Organization and Delivery of Burn Care was created to revise the adult pain guidelines. A MEDLINE search of English-language publications from 1968 to 2018 was conducted using the keywords \u201cburn pain,\u201d \u201ctreatment,\u201d and \u201cassessment.\u201d Selected references were also used from the greater pain literature. Studies were graded by two members of the committee using Oxford Centre for Evidence-based Medicine\u2014Levels of Evidence. We then met as a group to determine expert consensus on a variety of topics related to treating pain in burn patients. Finally, we assessed gaps in the current knowledge and determined research questions that would aid in providing better recommendations for optimal pain management of the burn patient. The literature search produced 189 papers, 95 were found to be relevant to the assessment and treatment of burn pain. From the greater pain literature 151 references were included, totaling 246 papers being analyzed. Following this literature review, a meeting to establish expert consensus was held and 20 guidelines established in the areas of pain assessment, opioid medications, nonopioid medications, regional anesthesia, and nonpharmacologic treatments. There is increasing research on pain management modalities, but available studies are inadequate to create a true standard of care. We call for more burn specific research into modalities for burn pain control as well as research on multimodal pain control.<\/jats:p>","DOI":"10.1093\/jbcr\/iraa119","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:02:34Z","timestamp":1599177754000},"page":"1129-1151","source":"Crossref","is-referenced-by-count":115,"title":["American Burn Association Guidelines on the Management of Acute Pain in the Adult Burn Patient: A Review of the Literature, a Compilation of Expert Opinion, and Next Steps"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4431-2423","authenticated-orcid":false,"given":"Kathleen S","family":"Romanowski","sequence":"first","affiliation":[{"name":"University of California, Davis and Shriners Hospitals for Children Northern California, Sacramento, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2607-9960","authenticated-orcid":false,"given":"Joshua","family":"Carson","sequence":"additional","affiliation":[{"name":"University of Florida Health Shands Burn Center, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Pape","sequence":"additional","affiliation":[{"name":"University of Iowa Hospitals and Clinics, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Bernal","sequence":"additional","affiliation":[{"name":"Kendall Regional Medical Center, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Sharar","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Harborview Medical Center, Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Wiechman","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Harborview Medical Center, Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Carter","sequence":"additional","affiliation":[{"name":"Maine Medical Center, Portland, Maine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuk Ming","family":"Liu","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center, Maywood, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Nitzschke","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Bhalla","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Harborview Medical Center, Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Litt","sequence":"additional","affiliation":[{"name":"University of Missouri School of Medicine, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Przkora","sequence":"additional","affiliation":[{"name":"University of Florida Health, Anesthesiology and Pain Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Friedman","sequence":"additional","affiliation":[{"name":"JM Still Burn Center, Augusta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Popiak","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children\u2013Galveston, Galveston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Jeng","sequence":"additional","affiliation":[{"name":"Nathan Speare Regional Burn Treatment Center Crozer Chester Medical Center, Upland, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen M","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital, Harvard Medical School, and Shriners Hospitals for Children-Boston\u00ae, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Joe","sequence":"additional","affiliation":[{"name":"University of California Irvine Regional Burn Center, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,9,4]]},"reference":[{"issue":"5","key":"2020113010473074900_CIT0001","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/01.BCR.0000238117.41490.00","article-title":"Practice guidelines for the management of pain","volume":"27","author":"Faucher","year":"2006","journal-title":"J Burn 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