Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Pain management and postoperative carePain management and postoperativecare[Appraised by Sister Sue Millerchip, January 2010; guidelines supplied bySister Sue Millerchip except where specified]The pain management serviceThe Pain Offices are situated on the first floor (central wing) of theUniversity Hospital, in the anaesthesia department.Dr Richard Walker, Dr S. Krishnamoorthy and Dr Shyam Balasubramanianare the chronic pain management consultants. Dr KrishRamachandran is the lead for acute pain. Sue Millerchip is the leadnurse and Josie Josen, Tracy Barnes and Jo Saeed are the painsisters. They carry bleeps 2492 and 2493. The pain nurses carry outdaily acute pain ward rounds, and are available for help and adviceon all acute and chronic pain issues.The treatment and clinic area is in a dedicated suite in the surgicalday unit on the ground floor.Guidelines for acute pain managementThis guideline was last reviewed in 2009.Severe pain options• Epidural analgesia.• Intravenous patient controlled analgesia.• Intravenous morphine infusion.• Intramuscular morphine 5-20 mg 2-hourly.• If eating and drinking consider oral morphine solution 10 mgqds. AND 10 mg p.r.n. between regular doses.In addition consider regular oral or rectal paracetamol AND NSAIDs ifappropriate.Anaesthetists Handbook January 2010 97