Keywords
Brachial plexus block
Anesthesia
Shoulder
Adult
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Abstract
Objective: To investigate the literature on the effectiveness of ropivacaine blockade in the interscalene brachial plexus and the best route of administration in controlling postoperative shoulder pain in adult patients. Methods: Integrative Literature Review. The research began based on the investigative question “What is the effectiveness of anesthetic blockade with ropivacaine in the interscalene brachial plexus and the best route of administration, in controlling postoperative shoulder pain in adult patients?”. The electronic survey was carried out using LILACS and Pubmed electronic databases. Results: Patients who received analgesia with ropivacaine reported satisfactory improvement in the postoperative period. Final considerations: The interscalene brachial plexus block with ropivacaine to control postoperative pain can be considered effective regardless of gender, age or anthropometric values. The authors agree that the use of the substance reduces the need for the use of opioids. The addition of perineural dexamethasone to ropivacaine seems to make the blockade even more effective in terms of promoting pain improvement (prolongation of the blockade) and less incidence of nausea and vomiting. The addition of tramadol to ropivacaine seems to make the block more effective, decreasing the onset time and duration of the sensory block.
References
BINGOL O, et al. Comparison of local infiltration analgesia and interscalene block for postoperative pain management in shoulder arthroscopy: a prospective randomized controlled trial. Turk J Med Sci. 2021; 51 (3): 1317-1323.
CHEN L, et al. Minimum effective volume of 0.2% ropivacaine for ultrasound-guided axillary brachial plexus block in preschool-age children. Sci Rep. 2021; 11(1): 1-7.
HARBELL MW, et al. Extraplexus versus intraplexus ultrasound-guided interscalene brachial plexus block for ambulatory arthroscopic shoulder surgery: A randomized controlled trial. Plos One. 2021; 16(2): 1-12.
KOLNY M, et al. Randomized, comparative study of the effectiveness of three different techniques of interscalene brachial plexus block using 0.5% ropivacaine for shoulder arthroscopy. Aneaesthesiol Intens Ther. 2017; 49(1): 47-52.
FARIA-SILVA R, et al. Association of clonidine and ropivacaine in brachial plexus block for shoulder arthroscopy. Braz J Anesthesiol. 2016; 66(4): 335-340.
HARBELL MW, et al. Extraplexus versus intraplexus ultrasound-guided interscalene brachial plexus block for ambulatory arthroscopic shoulder surgery: A randomized controlled trial. Plos One. 2021; 16(2): 1-12.
HE WS, et al. The effect of dexmedetomidine in coracoid approach brachial plexus block under dual stimulation. Medicine. 2018; 97(39): 1-4.
JASSEN H, et al. Blood pressure response to combined general anaesthesia/interscalene brachial plexus block for outpatient shoulder arthroscopy. BMC Anesthesiol. 2014; 14: 1-8.
KANG RA, et al. Superior Trunk Block Provides Noninferior Analgesia Compared with Interscalene Brachial Plexus Block in Arthroscopic Shoulder Surgery. Anesthesiology. 2019; 131(6): 1316-1326.
KIM KS, et al. Hemidiaphragmatic Paresis Following Interscalene Brachial Plexus Block With 2-Point Injection Technique. Pain Physician. 2021; 24(8): 507-515.
LEE MG, et al. A Comparison of Anesthetic Quality Between Interscalene Block and Superior Trunk Block for Arthroscopic Shoulder Surgery: A Randomized Controlled Trial. Pain Physician. 2021; 24(3): 235-242.
LIU Z, et al. Analgesic effect of Ropivacaine combined with Dexmedetomidine on brachial plexus block. BMC Anesthesiol. 2018; 18(1): 1-6.
LUAN H, et al. Effect of interscalene brachial plexus block with dexmedetomidine and ropivacaine on postoperative analgesia in patients undergoing arthroscopic shoulder surgery: a randomized controlled clinical trial. Trials. 2023; 24: 1-7.
NOCITI JR. Ropivacaína: o mais novo anestésico local complete 20 anos. Rev. Dor. 2017; 18(4): 1-2.
SAKAE TM, et al. Dexamethasone as a ropivacaine adjuvant for ultrasound-guided interscalene brachial plexus block: A randomized, double-blinded clinical trial. J Clin Anesth. 2017; 38: 133-136.
SOULIOTI E, et al. Addition of 100 mg of Tramadol to 40 mL of 0.5% Ropivacaine for Interscalene Brachial Plexus Block Improves Postoperative Analgesia in Patients Undergoing Shoulder Surgeries as Compared to Ropivacaine Alone-A Randomized Controlled Study. Medicina (Kaunas). 2019; 55(7): 1-10.
STASIOWSKI MJ, et al. Risk factors for occurrence of failed interscalene brachial plexus blocks for shoulder arthroscopy using 20 mL 0.5% ropivacaine: a randomised trial. 2018; 50(4): 263-269.
ZHANG L, et al. Effect of different volumes of 0.375% ropivacaine on diaphragmatic paralysis by supraclavicular brachial plexus block under ultrasound guidance. Ann Palliat Med. 2020; 9(6): 3993-4001.
ZHAO Y, et al. Comparison of the anesthesia effect of ultrasound-guided middle and low interscalene brachial plexus block: a randomized, controlled, non-inferiority trial. BMC Anesthesiol. 2023; 23(1): 1-11.
ZHAI W, et al. Effects of a fixed low-dose ropivacaine with different volume and concentrations on interscalene brachial plexus block: a randomized controlled trial. BMC Anesthesiol. 2016; 16(80): 1-8.