Acute Pain Management

The inpatient acute pain service provides 24 hour support and advice for inpatients requiring specialist pain management input. The service is provided by a team of Clinical Nurse Specialists and Anaesthetic staff. As a team we support many children and young people with a variety of acute pain problems; these patients may require support with the management of either acute post-operative or disease/treatment related pain.

We recognise that every patient's pain experience is unique and our approach to pain management is tailored to meet individual needs. Our team work collaboratively with patients, their family or carers as well as their nursing and medical team, to develop an individualised pain management plan to ensure children and young people at GOSH receive the best possible care for their pain.

The acute pain service provides the following input

  • Daily reviews for all patients requiring Patient Controlled Analgesia (PCA) and Nurse Controlled Analgesia (NCA) techniques for the administration of intravenous opioids
  • Daily reviews for those requiring epidural or other Regional Anaesthesia techniques for post-surgical pain
  • Advice for patients requiring the management of weaning/withdrawal of opioids or sedation following an ITU admission.
  • Procedural pain management advice
  • Advice on Pharmacological and Non-Pharmacological pain management strategies
  • Advice and assessment for other complex pain issues. Some patients may require longer term input and so we may request for them to be referred to our outpatient multidisciplinary chronic pain management service

Leaflets

  • Pain relief after surgery using patient-controlled analgesia (PCA) or nurse-controlled analgesia (NCA)
  • Pain relief after surgery using an epidural
  • Pain relief after surgery using an epidural - Arabic translation
    Pain relief for your child after surgery
  • Pain relief using Entonox
  • Caudal block for pain relief after surgery
  • Topical local anaesthetics
  • Local anaesthetic ‘nerve block’ injection for neuropathic pain
  • Distraction Therapy