Acute Pain – Inpatients only
We see all the children in RMCH who are on infusions or epidurals for pain control due to a medical condition, operation or accident. These include continuous IV Morphine Infusions and/or Ketamine Infusions. We also review in patients who are in acute pain and offer advice regarding simple analgesia and when to step-up to stronger pain killers.
Chronic Pain – Outpatient Clinic
Dr Colovic & Dr Kulcsar runs a Chronic Pain Clinic in outpatients once a week. This is a limited and non-funded service therefore waiting times for appointments can be up to 5 months.Patients are seen on a referral basis only using the following criteria:
- The patient is under 16 years of age.
- The patient must have had complex/chronic pain that has lasted longer than 12 weeks.
- All referrals must be made by the patient’s Lead Consultant.
- Referrals will not be accepted from any other source.
- Please send a referral letter marked “For the attention of The Chronic Pain Team, Department of Paediatric Anaesthesia, RMCH”.
- A referral may be faxed to 14875 (Internal) or 0161 701 4875 (external).
- The referral letter should include the patient’s details, current analgesia and a detailed history including investigations and results.
- All referral letters will be reviewed by Dr Colovic & Dr Kulcsar and a decision will then be made whether to follow the patient up in the Chronic Pain Clinic.
Department of Anaesthesia,
Royal Manchester Children’s Hospital
The nursing members of the Pain Team work approximately from 07.30 to 17.00 Monday – Friday. After 17.00 and at weekends the on-call anaesthetist deals with the pain management of patients.
We have assessment tools to determine your child’s level of pain. For children who can self-report their pain we have the Faces/Ladder scale which allows the child to score their pain by pointing to one of the faces or the number ladder scale. For those children who are unable to self-report their pain the nursing staff use the FLACC behavioural observational scale. Copies of our pain assessment tools can be accessed via related media.
We have introduced the ‘Paediatric Pain Profile’ which is a 20 item behaviour rating scale designed to assess pain in children with neurological impairment. This tool can be used for children with autism and very complex health needs. If your child is coming into hospital for an operation then please feel free to print off a copy of the Paediatric Pain Profile and complete the baseline assessments prior to coming into hospital.
Davandra Patel- Consultant Anaesthesia & Lead for the Acute Pain Team
Vesna Colovic – Consultant Anaesthetist & Lead for the Chronic Pain Team
Zsuzsanna Kulcsar – Consultant Anaesthetist & Chronic Pain Consultant
Jan Owen – Consultant Anaesthetist & Acute Pain Consultant
Sister Dorothy Duckworth – Lead Practitioner & Chronic Pain Nurse Specialist
Sister Claire O’Donnell – Clinical Nurse Specialist
Sister Frances Harrison – Clinical Nurse Specialist
Paula Gardner – Chronic Pain Secretary