Four analgesic techniques for shockwave lithotripsy: Eutectic mixture local anesthetic is a good alternative

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dc.contributor.authorBasar, H.
dc.contributor.authorYilmaz, E.
dc.contributor.authorOzcan, S.
dc.contributor.authorBüyükkoçak, Ü.
dc.contributor.authorSari, F.
dc.contributor.authorApan, A.
dc.contributor.authorBatislam, E.
dc.date.accessioned2020-06-25T17:35:37Z
dc.date.available2020-06-25T17:35:37Z
dc.date.issued2003
dc.departmentKırıkkale Üniversitesi
dc.descriptionBatislam, Ertan/0000-0002-7493-4573
dc.description.abstractBackground and Purpose: Various sedative and analgesic medication has been used for shockwave lithotripsy (SWL). The aim of this study was to evaluate the efficacy of different anesthesia modalities in these patients. Patients and Methods: One hundred patients were randomly divided into four groups. The first (Group F) received fentanyl 1 mug/kg intravenously (IV), the second (Group D) received diclofenac sodium 1 mg/kg-intramuscularly (IM), the third (Group T) received tramadol 1.5 mg/kg IM, and the fourth (Group E) was given 15 g of eutectic mixture local anesthetic (EMLA) cream containing lidocaine and prilocaine. After routine preoperative evaluation, all patients received midazolam 2 mg IV 5 minutes before lithotripsy for sedative premedication. In all groups, a supplemental 25-mug bolus of fentanyl was administered IV when patients complained of pain, moved, or grimaced in response to the shockwaves. Pain intensity was evaluated on a 0- to 100-mm visual analog scale (VAS). The level of sedation was determined using the Observer's Assessment of Alertness/Sedation (OAS/S). Side effects such as bradypnea, oxygen desaturation, bradycardia, pruritus, and nausea and vomiting were recorded. Results: There were no statistically significant differences among the four groups with regard to VAS, OAS/S scores, or side effects. In Group F, the mean arterial pressure was decreased significantly at 10 and 20 minutes. The patients in this group also manifested a decrease of oxygen saturation at the first, tenth, and twentieth minutes and the end of SWL. Conclusion: Application of EMLA cream was as safe and effective as fentanyl, diclofenac, and tramadol,. and reduction of the fentanyl dose during SWL was possible.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1089/089277903321196706
dc.identifier.endpage6en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue1en_US
dc.identifier.pmid12639353
dc.identifier.scopus2-s2.0-0242501515
dc.identifier.scopusqualityQ1
dc.identifier.startpage3en_US
dc.identifier.urihttps://doi.org/10.1089/089277903321196706
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3166
dc.identifier.volume17en_US
dc.identifier.wosWOS:000181290500002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal Of Endourology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleFour analgesic techniques for shockwave lithotripsy: Eutectic mixture local anesthetic is a good alternativeen_US
dc.typeArticle

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