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Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


GALEIRAS-VAZQUEZ, Rita et al. Procedural sedation analgesia for enzymatic debridement in patients with burns on face and neck. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.3, pp.329-334. ISSN 1989-2055.

Background and Objective

The number of minimally invasive procedures performed outside of the operating room has grown exponentially over the last several decades. Sedation, analgesia, or both may be needed for many of these interventional or diagnostic procedures. However, to our knowledge, there is no experience on the use of procedural sedation analgesia (PSA) in patients with facial burns who need enzymatic debridement.

The aim of this study is to assess the effectiveness and safety of PSA for pain relief in patients with facial burns undergoing enzymatic debridement.


We describe 16 cases of adult patients with burns on the face and neck who needed enzymatic debridement. Four patients without mechanical ventilation were treated with PSA. The procedure was well tolerated and the patients did not suffer complications


PSA usually requires combinations of multiple agents to reach desired effects of analgesia plus anxiolysis. The procedure was well tolerated and the patients did not suffer complications.


PSA can be an option for enzymatic debridement of facial burns in adults patients without mechanical ventilation.

Palabras clave : Burns; Facial burns; Neck burns; Enzymatic debridement; Analgesia; Sedoanalgesia.

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