2018, Number 2
Rev Cub de Reu 2018; 20 (2)
Beltrán GAB, Fierro DGA
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ABSTRACTIntroduction: rheumatic diseases, due to their natural evolution, bring with them affectations to the quality of life of the people carriers of the affections, reason why their early diagnosis, the opportune treatment and the prevention are of vital importance. The knowledge of contemporary advances in health care is a tool to help when making clinical decisions in daily practice, although the final decision on the diagnostic or therapeutic approach of a specific patient will depend on the characteristics of the same.
Objective: to carry out a systematic review of the specialized literature on intra-articular anesthesia.
Development: 56 articles were consulted between originals or research results, systematic reviews of the last 15 years, taking into account the publications related to intra-articular anesthesia published from 2007 to the present. Those articles or publications addressed to magazine directors or other documents that do not provide significant data were excluded. In addition, reports whose results did not correspond to the first and second level of evidence or were developed in animals were excluded.
Conclusions: research and evidence support the use of bupivacaine in its simple or combined form, which is the most commonly used, although the incorporation of a new local anesthetic with less toxicity, greater safety that does not affect cardiac function known as poiovacaine, is indicated. Opiates such as morphine and midazolam intra-articularly are the preferred local anesthetics for intra-articular interventions because of their analgesic effect in the postoperative period.