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 ?
Pain control can be achieved in the majority of patients using the World Health Organization analgesic ladder. The WHO three-step analgesic ladder provides the most straightforward and universally accepted approach to analgesia.
WHO analgesic ladder is a framework used to guide the pharmacological treatment of pain in chronic pain and palliative care patients.
Although there are no consensus guidelines for pain management, the World Health Organization (WHO) three-step analgesic ladder has been recommended in patients on hemodialysis (Davison, 2003; Davison & Jhangri, 2005; Koncicki, Unruh, & Schell, 2017).
The WHO "analgesic ladder" guidelines recommend treating pain in a stepwise approach, starting with nonopioids (step I), then, as necessary, weak opioids (step II), and finally strong opioids (step III) until the patient is free of pain [2, 3].
In general, the level of pain experienced by the volunteers was comparable to the second level of the World Health Organization analgesic ladder [20].
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.3
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.
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.
Pain management is mostly based on the World Health Organization's advised "analgesic ladder" guidelines.
The World Health Organization has created a stepwise approach to the management of cancer pain known as the 'analgesic ladder' (Fig.
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.