Topical anaesthesia for extracorporeal shock wave lithotripsy.

Abstract:

:We have investigated 60 patients in a prospective double-blind, placebo-controlled study to assess the efficacy of EMLA (Eutectic Mixture of Local Anaesthetics) cream to provide analgesia during extracorporeal shock wave lithotripsy (ESWL) with a second generation lithotriptor. Before operation, EMLA or placebo cream was applied to the patient's back at the anticipated shock head-skin interface. During the procedure increments of fentanyl 0.5 micrograms kg-1 were given i.v. on patient demand. There was no significant difference (P = 0.83) in the dose of fentanyl given to each group. We cannot recommend, therefore, the use of EMLA cream as an analgesic during ESWL with a second generation lithotriptor.

journal_name

Br J Anaesth

authors

McDonald PF,Berry AM

doi

10.1093/bja/69.4.399

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

399-400

issue

4

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)46070-3

journal_volume

69

pub_type

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