analgesic ladder

A venerated approach to managing a range of pain severity, formulated by the WHO for cancer; the ladder divides pain into
(1) mild—requiring NSAIDs and, if the pain is post-operative in nature, infiltration with local anaesthetics
(2) moderate—Step 1 plus opioid analgesics PRN
(3) severe—Step 1 and Step 2 plus local anesthetic neural blockade ±catheter plus sustained-release opioid analgesics
The stepwise approach to pain is valid for other types of pain—e.g., postoperative pain, sickle crisis pain, pelvic inflammatory disease

analgesic ladder

, World Health Organization analgesic ladder
A framework for the treatment of pain in patients with cancer and other disorders, in which the patient is treated first with anti-inflammatory analgesics such as ibuprofen or mild, non-narcotic pain relievers such as acetaminophen but subsequently may be treated with narcotic analgesics of increasing strengths if anti-inflammatory drugs or adjunctive therapies do not alleviate pain.
References in periodicals archive ?
As per WHO analgesic ladder, a statistically significant reduction in pain score was observed leading to decrease from 77.
In choosing analgesics for mild to severe pain practitioner should consider the analgesic ladder as opioids should be prescribed only in severe pain conditions and mostly in combination therapy.
The protocol was based on the World Health Organization analgesic ladder and the Beating osteoARThritis strategy for stepped care in hip and knee OA (Arthritis Care Res.
The concept of analgesic ladder was first introduced by World Health Organisation (WHO) in 1986 to manage cancer pain.
The World Health Organisation's analgesic ladder, although developed for managing cancer pain, is used as a guide for managing acute and chronic pain worldwide.
Management of pain includes how to assess pain and refers to the WHO analgesic ladder, which is used in standard pain management and palliative care settings.
Compare and contrast the strengths and limitations of the renal adaptation of the World Health Organization (WHO) analgesic ladder
10) This analgesic ladder approach is not an evidence-based guideline, but provides a systemic approach to the management of cancer pain, (11) especially in resource-limited areas.
The World Health Organisation's analgesic ladder (1996), originally devised to provide guidance in the management of cancer pain, is the framework most often applied in logical prescription and titration of analgesia in acute and chronic pain.
According to the analgesic ladder (Figure 1) paracetamol should first be tried: if ineffective, when taken as recommended, codeine should be added, and only after that (step 2) should NSAIDs be considered.
Beyond the moderate/severe pain level at the top of the analgesic ladder, Dr.
For other patients, their pain defies understanding and does not respond to the standard analgesic ladder of NSAID-adjuvant-opioid.