BLOQUEIO DE NERVO PERIFÉRICO - 03

Não foram encontrados estudos com metodologia adequada, podendo ser consideradas experimentais as seguintes indicações:

1.      Bloqueio Anestésico de nervos cranianos para: cefaléias rebeldes, neuralgias faciais e neuralgia do trigêmio.

2.      Bloqueio anestésico do Plexo Celíaco: dor abdominal oncológica, dor de manutenção simpática, pancreatite crônica, orquialgias e dor pélvica crônica.

3.      Bloqueio Anestésico Simpático Cérvico-Torácico para: Doença de Raynaud, embolia arterial de MMSS, injeção acidental de droga intra-arterial, síndr. de Meniere, Herpes Zoster agudo, neuralgia pós-herpética, síndr. dolorosa regional complexa I e II e embolia pulmonar.

4.      Bloqueio Anestésico Simpático Lombar para: Insuficiência circulatória de MMII, cólica renal, síndrome dolorosa complexa I e II, dor urogenital intratável, dor do membro fantasma, acrocianose e hiperhidrose.

5.      Bloqueio Peridural ou Subaracnóideo com corticóide: Lombociatalgias, dorsalgias, cervicobraquialgias, hérnia discal, Herpes Zoster e fibromialgia.

6.      Bloqueio de Nervo Periférico: Herpes Zoster, neurites, radiculopatias periféricas, síndrome do túnel do carpo, síndrome piriforme, ciatalgia, neuralgia, ombro doloroso, neuropatias periféricas e cefaléias.

7.      Bloqueio Neurolítico de nervos Cranianos ou Cérvico-Torácico para: Neuralgia do trigêmio, neuralgia facial atípica, neoplasias nas áreas dos nervos citados, neuralgia occipital, dor pós-toracotomia, neuralgias segmentares e neuralgia pós-herpéticas.

8.      Bloqueio Neurolítico Peridural ou Subaracnóideo para: Dor oncológica intratável e neuralgia pós-herpética.

9.      Bloqueio neurolítico do plexo celíaco e simpático lombar ou torácico para: dor de manutenção simpática, pancreatite crônica, orquialgias, dor pélvica crônica, insuficiência circulatória de MMII, cólica renal, síndrome dolorosa complexa I e II, dor urogenital intratável, dor do membro fantasma, acrocianose, hiperhidrose, doença de Raynaud, embolia arterial de MMSS, injeção acidental de droga intra-arterial, síndr. de Meniere, Herpes Zoster agudo, neuralgia pós-herpética e embolia pulmonar.

10.    Bloqueio Simpático por via venosa para: Polineuropatias, neuropatias periféricas, síndromes dolorosas miofaciais, fibromialgia, poliartralgias, dores vasculares, dores reumáticas, lombalgias, cervicalgias crônicas e dor crônica intratável.

11.    Bloqueio da Articulação Têmporo-mandibular (ATM) para: disfunção da ATM.

12.    Bloqueio facetário para tratamento de: dor cervical, torácica e lombar.

13.    Infiltração de pontos de gatilho para: fibromialgia e síndrome miofascial dolorosa.

14.    Rizotomia percutânea por radiofreqüência para: Síndrome facetaria lombar e cervical, dor oncológica, simpatectomia, dor oncológica abdominal, pancreatite crônica, hiperhidrose, dor isquêmica.

 

Foram encontradas evidências que a intervenção proposta é ineficaz em:

1. Bloqueio simpático intravenoso com guanetidina no tratamento da síndrome dolorosa regional complexa do tipo I
2. Rizotomia percutânea por radiofreqüência para: dor discogênica.

 

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