Reaching consensus on an analgesia protocol for paediatric burn patients in a resource-scarce South African community.
LMIC’s
analgesia protocol
burns
low- and middle-income countries
paediatrics
resource-limited
Journal
South African family practice : official journal of the South African Academy of Family Practice/Primary Care
ISSN: 2078-6204
Titre abrégé: S Afr Fam Pract (2004)
Pays: South Africa
ID NLM: 9701104
Informations de publication
Date de publication:
23 02 2021
23 02 2021
Historique:
received:
14
07
2020
accepted:
11
11
2020
revised:
02
11
2020
entrez:
25
3
2021
pubmed:
26
3
2021
medline:
15
12
2021
Statut:
epublish
Résumé
Despite the exceptional burden of burns in low- and middle-income countries (LMIC) and the importance of adequate analgesia in burn care, there is a lack of analgesia protocol developed in resource-scarce settings. This necessitates the development of an analgesia protocol applicable to the resource-scarce setting. This study presents the findings of a modified Delphi study aimed at achieving consensus by a panel of experts in the management of burn injuries from low- and middle-income settings across Africa. A two-round Delphi survey was conducted to achieve consensus on an analgesia protocol for paediatric burn patients for a resource-limited setting. The Delphi panel consisted of nine experts with experience in management of burn injuries in low-income settings. Consensus was determined by an a priori threshold of 80% of agreement for a drug to be included in the analgesia protocol. There was a largely overarching agreement with regard to the background analgesia protocol and strong agreement regarding the use of an initial dose of ketamine and midazolam for procedural sedation. A modified Delphi method was used to obtain expert consensus for a recently adopted analgesia protocol for burn-injured children in a resource-limited setting, with experts in the management of burn injuries in low- and middle-income settings. The expert consensus leads to the rigour and robustness of the protocol. Delphi methods are exceptionally valuable in healthcare research and the aim of such studies is to find converging expert opinions.
Sections du résumé
BACKGROUND
Despite the exceptional burden of burns in low- and middle-income countries (LMIC) and the importance of adequate analgesia in burn care, there is a lack of analgesia protocol developed in resource-scarce settings. This necessitates the development of an analgesia protocol applicable to the resource-scarce setting. This study presents the findings of a modified Delphi study aimed at achieving consensus by a panel of experts in the management of burn injuries from low- and middle-income settings across Africa.
METHODS
A two-round Delphi survey was conducted to achieve consensus on an analgesia protocol for paediatric burn patients for a resource-limited setting. The Delphi panel consisted of nine experts with experience in management of burn injuries in low-income settings.
RESULTS
Consensus was determined by an a priori threshold of 80% of agreement for a drug to be included in the analgesia protocol. There was a largely overarching agreement with regard to the background analgesia protocol and strong agreement regarding the use of an initial dose of ketamine and midazolam for procedural sedation.
CONCLUSION
A modified Delphi method was used to obtain expert consensus for a recently adopted analgesia protocol for burn-injured children in a resource-limited setting, with experts in the management of burn injuries in low- and middle-income settings. The expert consensus leads to the rigour and robustness of the protocol. Delphi methods are exceptionally valuable in healthcare research and the aim of such studies is to find converging expert opinions.
Identifiants
pubmed: 33764148
doi: 10.4102/safp.v63i1.5193
pmc: PMC8378142
doi:
Substances chimiques
Midazolam
R60L0SM5BC
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1-e7Subventions
Organisme : FIC NIH HHS
ID : D43 TW010131
Pays : United States
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