Reaching consensus on an analgesia protocol for paediatric burn patients in a resource-scarce South African community

South African Family Practice


 
 
Field Value
 
Title Reaching consensus on an analgesia protocol for paediatric burn patients in a resource-scarce South African community
 
Creator Wall, Shelley L. Allorto, Nikki L. Chetty, Verusia
 
Subject Surgery; Burns analgesia protocol; low- and middle-income countries; LMIC’s; burns; paediatrics; resource-limited
Description 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.
 
Publisher AOSIS
 
Contributor Fogarty International Center (FIC)
Date 2021-02-23
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Delphi Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5193
 
Source South African Family Practice; Vol 63, No 1 (2021): Part 1; 7 pages 2078-6204 2078-6190
 
Language eng
 
Relation https://safpj.co.za/index.php/safpj/article/view/5193/6621 https://safpj.co.za/index.php/safpj/article/view/5193/6620 https://safpj.co.za/index.php/safpj/article/view/5193/6622 https://safpj.co.za/index.php/safpj/article/view/5193/6619
 
Coverage Africa; South Africa; KwaZulu Natal — —
Rights Copyright (c) 2021 Shelley Lynn Wall https://creativecommons.org/licenses/by/4.0