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O tratamento pode ser incruento, com medica\u00e7\u00f5es e\/ou infiltra\u00e7\u00f5es que amenizam os sintomas, ou cruento, mais eficaz, com a descompress\u00e3o do nervo mediano pela se\u00e7\u00e3o cir\u00fargica do retin\u00e1culo dos flexores do carpo. A t\u00e9cnica anest\u00e9sica varia de acordo com o servi\u00e7o de anestesia: seda\u00e7\u00e3o, anestesia locorregional venosa e, mais recentemente, a anestesia local com o paciente acordado e sem torniquete (wide-awake local anesthesia no tourniquet, WALANT), que pode ser realizada pelo pr\u00f3prio cirurgi\u00e3o. Por utilizar anestesia local com vasoconstritor, essa t\u00e9cnica dispensa o uso de torniquete no membro superior e a necessidade de seda\u00e7\u00e3o. O bloqueio do nervo mediano na WALANT guiada por ultrassonografia confere melhor precis\u00e3o \u00e0 t\u00e9cnica, e mais seguran\u00e7a ao paciente, e, neste artigo seu uso na realiza\u00e7\u00e3o da descompress\u00e3o do t\u00fanel do carpo \u00e9 descrito, e a literatura, revisada.<\/jats:p>","DOI":"10.1055\/s-0041-1735172","type":"journal-article","created":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T22:30:15Z","timestamp":1631399415000},"page":"538-542","source":"Crossref","is-referenced-by-count":2,"title":["T\u00e9cnica WALANT guiada por ultrassom na cirurgia de descompress\u00e3o do t\u00fanel do carpo"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0754-7872","authenticated-orcid":false,"given":"Sandro B.","family":"Moreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danilo C.","family":"Chagas","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de Araraquara\/UNIARA, Araraquara, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caetano T.","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de Araraquara\/UNIARA, Araraquara, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,11]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.rbo.2013.08.007","article-title":"S\u00edndrome do t\u00fanel do carpo - Parte I (anatomia, fisiologia, etiologia e diagn\u00f3stico)","volume":"49","author":"M Chammas","year":"2014","journal-title":"Rev Bras Ortop"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.rbo.2013.08.008","article-title":"S\u00edndrome do t\u00fanel do carpo \u2013 Parte II (tratamento)","volume":"49","author":"M Chammas","year":"2014","journal-title":"Rev Bras Ortop"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"350","DOI":"10.5999\/aps.2018.00535","article-title":"Effectiveness of mini-open carpal tunnel release: An outcome study","volume":"46","author":"L R van den Broeke","year":"2019","journal-title":"Arch Plast Surg"},{"issue":"05","key":"ref4","first-page":"452","article-title":"Use of adrenalin with lidocaine in hand surgery","volume":"49","author":"R A de Freitas Novais Junior","year":"2014","journal-title":"Rev Bras Ortop"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.rbo.2017.05.002","article-title":"\u00c9 seguro o uso de anest\u00e9sico local com adrenalina na cirurgia da m\u00e3o? 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