{"id":2196,"date":"2018-07-03T12:22:26","date_gmt":"2018-07-03T12:22:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1129"},"modified":"2026-02-12T19:15:13","modified_gmt":"2026-02-12T19:15:13","slug":"who-pain-ladder","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/who-pain-ladder\/","title":{"rendered":"Escalera Analg\u00e9sica de la OMS para el Manejo del Dolor"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las gu\u00edas de tratamiento de la OMS para el dolor del c\u00e1ncer brindan explicaciones sobre la fisiopatolog\u00eda de dicho dolor, c\u00f3mo realizar evaluaciones adecuadas, c\u00f3mo elegir analg\u00e9sicos y c\u00f3mo usar la escalera. Los primeros estudios sobre su eficacia demostraron que el m\u00e9todo propuesto por la OMS ofrec\u00eda un tratamiento econ\u00f3mico y un alivio adecuado para el 70% al 90% de los pacientes con c\u00e1ncer con dolor.<!--more--><br \/>\nLos medicamentos adyuvantes se pueden iniciar seg\u00fan sea necesario en cualquier etapa de la escalera. Estos medicamentos incluyen antidepresivos (por ejemplo, tric\u00edclicos para dolor neurop\u00e1tico agudo), anticonvulsivos (por ejemplo, gabapentina) y glucocorticoides (por ejemplo, dexametasona para reducir el dolor posoperatorio, n\u00e1useas y v\u00f3mitos). La eficacia analg\u00e9sica aumenta con cada paso en la escalera, al igual que el potencial de abuso de medicaci\u00f3n o adicci\u00f3n.<\/p>\n<p><strong>\u00a0Escalera de dolor de la OMS<\/strong><\/p>\n<p>Escalera analg\u00e9sica\u00a0modificada\u00a0de tres pasos de la Organizaci\u00f3n Mundial de la Salud para excluir medicamentos inseguros en la insuficiencia renal. Los pacientes fueron tratados con medicamentos en el paso 1 cuando calificaron su dolor como 1 a 4 en una escala de 10 puntos. Los pacientes fueron tratados con medicamentos en el paso 2 cuando calificaron su dolor como un 5 o 6 en una escala de 10 puntos. Los pacientes fueron tratados con medicamentos en el paso 3 cuando calificaron su dolor como un 7 a 10 en una escala de 10 puntos.<\/p>\n<p><strong>Paso 1<\/strong>, Dolor Leve (1-4)<\/p>\n<ul>\n<li>Acetaminofeno (Paracetamol)<\/li>\n<li>+\/- Adyuvantes<\/li>\n<\/ul>\n<p><strong>Paso 2<\/strong>, Dolor Moderado (5-6)<\/p>\n<ul>\n<li>Hidrocodona<\/li>\n<li>Oxicodona<\/li>\n<li>Tramadol<\/li>\n<li>+\/- Analg\u00e9sicos no opioides<\/li>\n<li>+\/- Adyuvantes<\/li>\n<\/ul>\n<p><strong>Paso 3<\/strong>, Dolor Severo (7-10)<\/p>\n<ul>\n<li>Hidromorfona<\/li>\n<li>Metadona<\/li>\n<li>Fentanilo<\/li>\n<li>Oxicodona<\/li>\n<li>+\/- Analg\u00e9sicos no opioides<\/li>\n<li>+\/- Adyuvantes<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Carlson CL. Effectiveness of the World Health Organization cancer pain relief guidelines: an integrative review.\u00a0J Pain Res. 2016 Jul 22;9:515-34. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27524918\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Jadad AR, Browman GP. The WHO analgesic ladder for cancer pain management. Stepping up the quality of its evaluation.\u00a0JAMA. 1995 Dec 20;274(23):1870-3. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7500538\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>McGuire LS, Slavin K. Revisiting the WHO Analgesic Ladder for Surgical Management of Pain. AMA J Ethics. 2020 Aug 1;22(1):E695-701. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32880358\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jun 28, 2018.<br \/>\nActualizado Feb 12, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las gu\u00edas de tratamiento de la OMS para el dolor del c\u00e1ncer brindan explicaciones sobre la fisiopatolog\u00eda de dicho dolor, c\u00f3mo realizar evaluaciones adecuadas, c\u00f3mo elegir analg\u00e9sicos y c\u00f3mo usar la escalera. Los primeros estudios sobre su eficacia demostraron que el m\u00e9todo propuesto por la OMS ofrec\u00eda un tratamiento econ\u00f3mico y un alivio adecuado para [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[425],"tags":[440,439,433,438,437,259,260,307,436,435,432,306],"class_list":["post-2196","post","type-post","status-publish","format-standard","hentry","category-anesthesiology","tag-analgesic","tag-analgesicos","tag-dolor","tag-escalera","tag-ladder","tag-management","tag-manejo","tag-oms","tag-opioides","tag-opioids","tag-pain","tag-who"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Escalera Analg\u00e9sica de la OMS para el Manejo del Dolor - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/es\/who-pain-ladder\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Escalera Analg\u00e9sica de la OMS para el Manejo del Dolor[:en]WHO Analgesic Ladder for Pain Management[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"Las gu\u00edas de tratamiento de la OMS para el dolor del c\u00e1ncer brindan explicaciones sobre la fisiopatolog\u00eda de dicho dolor, c\u00f3mo realizar evaluaciones adecuadas, c\u00f3mo elegir analg\u00e9sicos y c\u00f3mo usar la escalera. Los primeros estudios sobre su eficacia demostraron que el m\u00e9todo propuesto por la OMS ofrec\u00eda un tratamiento econ\u00f3mico y un alivio adecuado para [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/es\/who-pain-ladder\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-03T12:22:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-12T19:15:13+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/who-pain-ladder\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/who-pain-ladder\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Escalera Analg\u00e9sica de la OMS para el Manejo del Dolor\",\"datePublished\":\"2018-07-03T12:22:26+00:00\",\"dateModified\":\"2026-02-12T19:15:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/who-pain-ladder\\\/\"},\"wordCount\":666,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"Analgesic\",\"analgesicos\",\"dolor\",\"Escalera\",\"Ladder\",\"Management\",\"manejo\",\"oms\",\"opioides\",\"opioids\",\"Pain\",\"WHO\"],\"articleSection\":[\"Anesthesiology\"],\"inLanguage\":\"es\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/who-pain-ladder\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/who-pain-ladder\\\/\",\"name\":\"[:es]Escalera Analg\u00e9sica de la OMS para el Manejo del Dolor[:en]WHO Analgesic Ladder for Pain Management[:] - 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