Treatment with medicines

Frequently, a combination of several different medicines is used to deliver the best possible pain alleviation. Through administering pain relief on a regular basis and preventing pain it is frequently possible to administer smaller amounts of medicine. Moreover, the risk of constipation and nausea is reduced. Proper pain alleviation also means that the child becomes active and moves around more quickly.

After major operations, treatment on many occasions is administered with a pain relief drip that continuously feeds medicine into the blood vessel, e.g. a morphine infusion. A variant is that the child is able to control the treatment of pain with the aid of a button connected to a PCA (Patient Controlled Analgesia) pump. When the child suffers pain he/she presses the button and then a small amount of medicine is supplied. The pump is so adjusted that it does not supply the medicine excessively even if your child presses the button many times within a short period.

Another method is to administer local anaesthetic in a thin hose that may be placed directly in the wound or by the nerve endings that support the operated area. Local anaesthetic is given as repeated doses or continuously as a drip. When a spinal anaesthesia is used, the bladder is frequently affected by the anaesthetic which means that the child does not feel when it needs to urinate. For this reason, in most cases the child also has a hose inserted in the bladder. This hose can make the child want to urinate even when the bladder is empty. The thin plastic hose is no obstacle to the child lying on its back in bed. A spinal anaesthesia may also affect the strength and feeling in the leg. It is important that the child has received information on this prior to the operation.

En tecknad bild av en smärtpump.

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Astrid Lindgren Children´s Hospital | Karolinska University Hospital 171 76 Stockholm

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