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Acute Pain Service

CHEO has been instrumental in the development of Pain Scores for the assessment of pain in children, which are widely used around the world.

Children and their families are introduced to the post-surgery pain management options in the Pre-Assessment Clinic. The Acute Pain Service (APS) operates 24 hours a day, 7 days a week at CHEO and cares for the postoperative inpatients as well as for complex acute pain problems. It is staffed by a dedicated pain physician, anesthesia residents and advanced nurse practitioners.

The Acute Pain Service offers a wide variety of pain management techniques. Pre-emptive multi modal analgesia with oral or rectal acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) and other adjuncts are commonly prescribed. Intravenous morphine or morphine like analgesics are delivered by continuous infusions, intermittent boluses or Patient Controlled Analgesia (PCA) methods. Regional anesthesia techniques such as epidurals and nerve blocks are also monitored, cared for and followed up by the APS. Protocols and standardization of these pain practices have ensured appropriate pain control and are also used to constantly audit and improve pain service practices.

The goal of the Acute Pain Service is to provide the best possible pain relief and comfort to the child in pain with the least side effects.

This video will demonstrate how to use Patient Controlled Analgesia (PCA) to control pain. PCA is one method used to control pain after surgery or may be helpful controlling pain associated with a painful condition. The ideal patient is one who is greater than 6 years of age. This method allows the patient to have some control of their pain management. Your health care provider will arrange for this modality if they feel it would be beneficial to your care.

 

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