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.

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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.

Optimized analgesia, exercise cut pain in knee OA

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.

Understanding chronic pain

Compare and contrast the strengths and limitations of the renal adaptation of the World Health Organization (WHO) analgesic ladder

Pain assessment and management in hemodialysis patients

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.

Advances in pain control in palliative care: pain in palliative care needs to be carefully assessed before treatment

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.

Analgesic recommendations when treating musculoskeletal sprains and strains

For other patients, their pain defies understanding and does not respond to the standard analgesic ladder of NSAID-adjuvant-opioid.

Calcium channel antagonists in pain: blockade of voltage-sensitive calcium channels provides novel agents for pain management

Step 1 of the WHO analgesic ladder recommends acetaminophen, nonsteroidal antiinflammatory drugs (NSAIDs), or adjuvants as first-line therapy for mild pain.

Pharmacologic management of cancer pain

The WHO method consists of a three-step analgesic ladder in which more aggressive therapy can be added as the resident experiences increasing pain, (with [+ or -] meaning "with or without"):

Chronic pain: we're undertreating the elderly: having read many accounts of undertreatment, this consultant pharmacist mounted his own study. Here's what he found. (Feature Article)

In 1990, the World Health Organization proposed an analgesic ladder for the treatment of cancer pain.

Nonopioid analgesics

Drug treatment for pain is referred to by doctors and pharmacists as the analgesic ladder.

Control pain the alternative way; With health warnings over the long-term use of painkillers, Cate Wilson looks at other ways of self-help for victims of chronic pain

Pain Pathways Types of Pain Measurement of Pain Treatment Modalities-Pharmacologic Management Analgesic Ladder Step I Drugs Step II Drugs Step III Drugs

The World Market for Pain Management Drugs and Devices

Which of the following statements regarding the renal WHO analgesic ladder in hemodialysis patients is false: