Use of combined paracetamol and low dose ketamine in pain control during change of dressings in burn patients
AbstractObjective: To determine the effectiveness of Paracetamol and low dose Ketamine in controlling burn pain during dressings.
Setting: The burns ward of Moi Teaching and Referral Hospital, a 750 bed capacity
tertiary centre in Western Kenya.
Subjects: Consenting patients were recruited to the study on admission. Babies and minors had consent given by their parents or guardians.
Results: Of the Fifty nine patients who were recruited into the study, seventy percent of them were children. Male to Female ratio was 1.2:1. There was statistically significant change in the pain score on both FLACC and VAS (both p<0.001) after the introduction of low dose Ketamine with Paracetamol. The patients and healthcare providers were satisfied with the new mode of pain management during change of dressings for
Conclusion: The use of oral Paracetamol combined with the low dose intravenous Ketamine, is effective in controlling burn pains during change of dressings. It is a safe and cheap alternative, that can be applied in remote and resource limited medical facilities.