Bloqueio do nervo supraescapular: procedimento importante na prática clínica. Parte II

Abstract

The suprascapular nerve block is a reproducible, reliable, and extremely effective treatment method in shoulder pain control. This method has been widely used by professionals in clinical practice such as rheumatologists, orthopedists, neurologists, and pain specialists in the treatment of chronic diseases such as irreparable rotator cuff injury, rheumatoid arthritis, stroke sequelae, and adhesive capsulitis, which justifi es the present review (Part II). The objective of this study was to describe the techniques and complications of the procedure described in the literature, as the fi rst part reported the clinical indications, drugs, and volumes used in single or multiple procedures. We present in details the accesses used in the procedure: direct and indirect, anterior and posterior, lateral and medial, upper and lower. There are several options to perform suprascapular nerve block. Although rare, complications can occur. When properly indicated, this method should be considered.

Perfil nociceptivo e uso de analgésicos em pacientes submetidos à cirurgia de reparo do manguito rotador: Coorte prospectiva

“…Analgesics mechanism of action is based on prostaglandin synthesis inhibition, responsible for mild and moderate pain, local vasodilation and increase of vascular permeability. 16 Opioids are potent analgesics with recommendation for Conclusion Therefore, patients with rotator cuff injuries did not present alterations in the descending inhibitory system, but showed alterations in pain thresholds, which may interfere in the postoperative period and still be related to the consumption of analgesics.…”

“…Analgesics mechanism of action is based on prostaglandin synthesis inhibition, responsible for mild and moderate pain, local vasodilation and increase of vascular permeability. 16 Opioids are potent analgesics with recommendation for moderate or intense pain treatment. NSAIDs are used as single agents or associated to opioids, it does not cause respiratory depression, reduces the opioid necessary amount and consequently the incidence of adverse effects.…”

“…O mecanismo de ação dos analgésicos é baseado na inibição da síntese de prostaglandinas, responsável por dores leves e moderadas, vasodilatação local e aumento da permeabilidade vascular. 16 Os opioides são analgésicos potentes, recomendados para o tratamento da dor moderada ou intensa. Os AINEs são utilizados como agentes únicos ou associados a opioides e não causam depressão respiratória; além disso, reduzem a quantidade necessária de opioides e, consequentemente, a incidência de efeitos adversos.…”

A Síndrome Do Túnel Do Carpo : Anestésico Versus Outros Tratamentos Não-Cirúrgicos Para Redução Da Dor E Efeito Anti-Inflamatório

“…Wertheim e Rovenstine (1941( , apud FERNANDES et al, 2012 desenvolveram uma técnica de bloqueio do nervo supraescapular fazendo uso de infiltrado de 5 ml de Procaína 2% com 5 ml de solução analgésica oleosa. O bloqueio do nervo supraescapular é também um método seguro e efetivo no tratamento das doenças do ombro que cursam com dor crônica (FERNANDES et al 2012).…”