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Oxford University Hospitals NHS Foundation Trust
Oxford Children's Hospital

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Children's Inpatient Management of Pain Service

"Let us reach out to the children. Let us do whatever we can to support their fight to rise above their pain and suffering."

Nelson Mandela 1997

Welcome to the ChIMPSChIMPS logo

 

We are here to help children (and their carers) who have pain following surgery and who have painful conditions who come into hospital. We aim to make the pain better using several different methods.

What we do

We are a team of doctors and nurses who specialise in the management of pain relief for children who are cared for on the wards in the hospital.

We provide education, training and expert support to the staff on the wards in all aspects for pain control for children.

We regularly visit the wards to see children who have had surgery and with painful conditions. We give advice on how best to treat pain.

One of the most important aspects of pain control is the assessment of pain. We have developed special tools to help staff, carers and children assess pain: here

Information on pain relief for children

We use the best available evidence on the most effective ways to treat pain in children. This includes medicines that can be swallowed, strong pain killers such as morphine and the use of local anaesthetics.

When a child has an operation, they will be seen by an anaesthetist who will discuss how best to provide pain relief after the surgery.

Further information can be found below on the methods that are used to treat pain in children.

Pain assessment

The assessment of pain is an important part of the care your child will receive while in hospital. Children and their families are sometimes worried that they may be in pain when in hospital.

Read more: Children's: Pain assessment and pain relief (pdf, 44 KB)

Oral pain killers

Pain relief after your child's day case surgery

Your child is allowed to go home on the same day as his/her operation because the operation is relatively small and is not expected to cause too much pain. The anaesthetist will give some pain medicine to your child while they are asleep. This should work to relieve pain for several hours, and usually means that your child will be comfortable on waking. If your child does experience some pain after their operation the following information will help you to decide what to do next.

Read more: Pain relief after your child's day case surgery (pdf, 71 KB)

Morphine for pain relief in children

Morphine is used to reduce pain which cannot be controlled by paracetamol or ibuprofen alone. This might be pain following an injury or after an operation. Morphine can be given to children as a liquid which they can swallow, rather than a tablet.

Read more: Morphine for pain relief in children (pdf, 41 KB)

Patient Controlled Analgesia

Patient Controlled Analgesia is a way of giving strong pain relieving medicines (such as morphine) to your child, after a painful operation or during a painful illness whilst in hospital. As the name suggests, the patient (child) is in control of the pain medicine, so that they won’t have to wait to ask a nurse for it.

Read more:

Nurse Controlled Analgesia

Nurse controlled analgesia is a way of giving strong pain relieving medicines (such as morphine) to your child, after a painful operation or during a painful illness whilst in hospital. As the name suggests, the child's nurse will control how much pain medication is given to your child, to help manage their pain.

Read more: Children's: Nurse Controlled Analgesia (pdf, 61 KB)

Epidural Analgesia

An epidural is a way of providing numbing pain relief after an operation. A small plastic tube (epidural catheter) is placed into the epidural space, which surrounds the spinal cord in your child's back.

Read more:

Caudal Blocks

A caudal block is a pain relieving injection of local anaesthetic which is put in at the bottom of the back (spine). This will make the lower half of your child's body feel numb.

Read more: Children's: Caudal Block (pdf, 63 KB)

Local Anaesthetic Nerve Blocks

A nerve block is an injection of numbing local anaesthetic given around a nerve. It is used to reduce pain following surgery or after an injury, such as a broken bone.

Read more: Children's: Local Anaesthetic Nerve Block (pdf, 69 KB)

Links to other pain management services

We only provide a service for children who are admitted on the inpatient wards: for those who are not admitted, there are other local medical teams that can help, depending on the age of the child or young person with pain.

Contact us

If you have any questions about pain management for a child coming into hospital, please contact us.

Email: ChIMPS@ouh.nhs.uk - we aim to reply within three working days.

Links