Comparison of three analgesics for extracorporeal shock wave lithotripsy

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dc.contributor.authorÖzcan, S.
dc.contributor.authorYilmaz, E.
dc.contributor.authorBüyükkoçak, Ü.
dc.contributor.authorBasar, H.
dc.contributor.authorApan, A.
dc.date.accessioned2020-06-25T17:35:11Z
dc.date.available2020-06-25T17:35:11Z
dc.date.issued2002
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: The aim of the study was to compare the clinical efficacy of three different analgesic drugs with respect to their level of sedation, analgesia and quick mobilisation without cardiopulmonary depression, for outpatient extracorporeal shock wave lithotripsy (ESWL) procedure. Material and Methods: Sixty outpatients undergoing elective ESWL using a third generation lithotriptor were studied. The patients were randomly divided into three groups of twenty patients. All patients received midazolam (2 mg) intravenously five minutes before the procedure. In group F, fentanyl was given (I mug kg-(1) IV) at the same time with midazolam. In group D, diclofenac sodium was given (I mg kg-(1), IM) intramuscularly 45 minutes before ESWL. In group T, tramadol was given (1.5 mg kg-(1)) 30 minutes before ESWL. Arterial pressure, heart rate, respiratory rate and oxygen saturation were recorded before the procedure, after sedation, at the first minute, and every ten minutes during the procedure. Pain intensity was identified with a Visual Analogue Scale. The level of sedation was evaluated by using the Observer's Assessment of Alertness/Sedation Scale. All patients were asked to assess their satisfaction with the seven point Verbal Rating Scale before discharge. Side-effects were also recorded during the procedure. Results: The incidence of nausea and vomiting was higher in fentanyl group compared with the other groups. In patients who received fentanyl, the decrease of oxygen saturation at the first and tenth minute of the procedure was statistically significant (p < 0.05). Conclusions: Diclofenac sodium and tramadol were found to be safe and effective analgesics with lower side-effects than fentanyl.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1080/003655902320248254
dc.identifier.endpage285en_US
dc.identifier.issn0036-5599
dc.identifier.issue4en_US
dc.identifier.pmid12201921
dc.identifier.scopus2-s2.0-0035995889
dc.identifier.scopusqualityN/A
dc.identifier.startpage281en_US
dc.identifier.urihttps://doi.org/10.1080/003655902320248254
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3051
dc.identifier.volume36en_US
dc.identifier.wosWOS:000177645400007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Asen_US
dc.relation.ispartofScandinavian Journal Of Urology And Nephrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectESWL (Extracorporeal Shock Wave Lithotripsy)en_US
dc.subjectanalgesicsen_US
dc.subjectfentanylen_US
dc.subjectdiclofenac sodiumen_US
dc.subjecttramadolen_US
dc.titleComparison of three analgesics for extracorporeal shock wave lithotripsyen_US
dc.typeArticle

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