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New research · Anesthesiology
Journal of burn care & research : official publication of the American Burn Association · 1d
Cohort studyJournal of burn care & research : official publication of the American Burn Association · 2026

Anesthetic Practices for Laser Therapy in Pediatric Patients with Hypertrophic Burn Scars: A Retrospective Multicenter Cohort Study.

Nicole C McCoy, Noah Ashley, Amanda T Tran … Aditee Ambardekar
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AnesthesiologyCohort study

Preoperative opioid use is associated with lower odds of intraoperative or postoperative opioid administration.

Anesthetic Practices for Laser Therapy in Pediatric Patients with Hypertrophic Burn Scars: A Retrospective Multicenter Cohort Study.

Nicole C McCoy et al. · Journal of burn care & research : official publication of the American Burn Association · 2026
Background

Burn injuries are a leading cause of death and disability worldwide, disproportionally impacting pediatric patients.

Purpose

In this multicenter retrospective cohort study, we aimed to identify effective anesthetic strategies that correlated with outcomes for pediatric laser scar therapy.

OR, 0.14
Results
Preoperative opioid use is associated with 86% lower odds of needing opioids during or after surgery.
n = 98 patients
More results

We characterized perioperative anesthetic approaches for pediatric patients with burn scars who were undergoing laser therapy at 2 academic centers from 2020 - 2023.

Among 239 encounters for 98 patients, intraoperative/ postoperative opioids were given in 53% of encounters.

More results

A 2-fold increase in total body surface area treated was associated with a 32% increase in the odds of opioid use (OR, 1.32; 95% CI, 1.11-1.58; P = 0.002) and 23% greater odds of pain (OR, 1.23; 95% CI, 1.05-1.43; P = 0.009) when controlling for other variables.

“
Conclusion

These findings uncovered key patient and procedure factors that can inform standardized anesthetic guidelines for pediatric laser scar therapy.

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