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Objetivo: Investigar a literatura sobre como o bloqueio com ropivacaína no plexo braquial interescalênico funciona e qual é a melhor forma de administração para tratar a dor pós-operatória de ombro em adultos. Metodologia: Uma revisão completa da literatura. A pesquisa começou com base na dor do paciente e na melhor estratégia de tratamento; o levantamento eletrônico foi realizado utilizando as bases de dados eletrônicos LILACS e Pubmed. Resultados: Os pacientes que receberam ropivacaína para analgesia relataram melhora satisfatória no período pós-operatório. Considerações finais: Para controlar a dor pós-operatória, o bloqueio do plexo braquial interescalênico com ropivacaína é considerado eficaz independentemente do gênero, da idade ou dos valores antropométricos. Os autores concordam que o uso da substância diminui o uso de opióides. A adição de dexametasona perineural à ropivacaína parece tornar o bloqueio ainda mais eficaz, aumentando a álgica (prolongamento do bloqueio) e reduzindo a frequência de náuseas e vômitos. Parece que a combinação de tramadol e ropivacaína aumenta a eficácia do bloqueio sensorial, diminuindo o tempo de início e a duração do bloqueio.
Referências
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Copyright (c) 2024 Ana Carolina Berto Teixeira, Gisleide Tristão Franco de Alcântara, Sarah Faria Lima, Francisco Alexandre de Oliveira Júnior, Vitor Turra Rondinelli Pereira, Ana Paula Bandiera Gonçalves, Laureen Garcia Simões de Souza, Giovanna Braga Ferreira, Clarissa Domingos Aguiar, Carolina Mitsue Soares Assato, Isabela Rissoli Tamura, Joicy Souza Santos, Ana Paula Bond Mesquita, Henrique Carreiro Fernandes