Anesthetic requirements during electromagnetic extracorporeal shock wave lithotripsy.

Abstract:

:An important aspect of modern extracorporeal shock wave lithotripsy is the ability to perform the procedure without anesthesia. Between June 1987 and April 1990, a total of 7,500 treatments were performed in our Lithotripsy Unit, using the Lithostar (Siemens AG, Erlangen, FRG): moreover 80% of the treatments were carried out as an anesthesia-free outpatient service. All treatments were reviewed for anesthetic requirements. Epidural anesthesia was performed in 74/7,500 (0.98%) treatments: during the initial period, the first 70 procedures were systematically performed under epidural anesthesia, and in 4 later cases of simultaneous endoscopic stone manipulation. Local skin infiltration was applied at the coupling site in 658/7,500 (8.7%) treatments. With increasing experience and technological improvement, 6,229/7,500 (83%) procedures were performed later on with only mild sedation: 1 mg of lorazepam orally 30 min before the treatment. Intravenous sedation was required in 510/7,500 (6.8%) cases because of painful local irritation, especially when treating calculi close to sites where shock waves can progress along the ribs. General anesthesia was required in all 28 children (0.4%).

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Vandeursen H,Pittomvils G,Matura E,Boving R,Baert L

doi

10.1159/000282191

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

77-80

issue

2

eissn

0042-1138

issn

1423-0399

journal_volume

47

pub_type

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