PMID: 11912374Mar 26, 2002Paper

Analgesia for shock wave lithotripsy

The Journal of Urology
J ParkinAnthony G Timoney

Abstract

We evaluated the effectiveness of and patient preference for analgesia used during shock wave lithotripsy by comparing diclofenac alone with a combination of diclofenac and patient controlled analgesia, that is alfentanil. A total of 64 patients were treated using a Lithotriptor S (Dornier Medical Systems, Marietta, Georgia) and randomized to receive diclofenac alone or combined with an alfentanil patient controlled analgesia pump. If treated twice, they crossed over to the alternative form of analgesia. A record was maintained of the site and size of the stone, maximum power achieved, number of shocks, amount of alfentanil used and need for additional analgesia. After treatment patients scored on a visual analog scale the maximum level of pain and satisfaction with analgesia. There was no difference in the mean size of the stone treated (8.6 and 7.5 mm.), energy level (71% and 71% or approximately 17 kV.) or number of shocks (3,000 and 2,900, respectively) in the groups. Only 2 patients in the diclofenac group required additional analgesia and there were no significant side effects from either treatment. The mean pain scores were not significantly different in the diclofenac and patient controlled analgesia groups (3.54 and 2....Continue Reading

References

Oct 1, 1992·British Journal of Anaesthesia·P F McDonald, A M Berry
Sep 1, 1994·British Journal of Urology·C DawsonH N Whitfield
Oct 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S GanapathyJ D Denstedt
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Aug 23, 2000·The Journal of Urology·J M FialkovB Fallon

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Citations

Mar 8, 2008·Journal of Endourology·Iraklis C MitsogiannisMichael D Melekos
Oct 14, 2009·Journal of Endourology·Marc VergnollesGrégoire Robert
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Narmada P Gupta, Anup Kumar
Jun 23, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·V A Mezentsev
Mar 25, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Omar M AboumarzoukTarik Amer
Sep 30, 2010·Journal of the Chinese Medical Association : JCMA·Hüsnü TokgözNecmettin Aydin Mungan
Dec 26, 2015·Journal of Lasers in Medical Sciences·Babak JavanmardMohammad Mohsen Mazloomfard

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