Effectiveness of eutectic mixture of local anesthetic cream and occlusive dressing with low dosage of fentanyl for pain control during shockwave lithotripsy

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dc.contributor.authorYilmaz, Erdal
dc.contributor.authorBatislam, Ertan
dc.contributor.authorBasar, M. Murad
dc.contributor.authorTuglu, Devrim
dc.contributor.authorÖzcan, Şaziye
dc.contributor.authorBasar, Halil
dc.date.accessioned2020-06-25T17:40:36Z
dc.date.available2020-06-25T17:40:36Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.description22nd World Congress of Endourology/SWL 20th Basic Research Symposium -- NOV 02-05, 2004 -- Bombay, INDIA
dc.descriptionBatislam, Ertan/0000-0002-7493-4573
dc.description.abstractBackground and Purpose: To investigate the effect and usefulness of Eutectic Mixture of Local Anesthetic (EMLA) applied with an occlusive dressing and used simultaneously with a low dose of fentanyl during shockwave lithotripsy (SWL). Patients and Methods: One hundred sixty patients with kidney stones, aged between 19 and 68 years, were randomly, divided into seven groups that were treated as follows: group 1: fentanyl 1 mu g/kg by intravenous infusion (IV); group 2: IV fentanyl 0.25 mu g/kg; group 3: occlusive dressing and IV fentanyl 0.25 mu g/kg; group 4: placebo cream and IV fentanyl 0.25 mu g/kg; group 5: EMLA cream and IV fentanyl 0.25 mu g/kg; group 6: placebo cream and IV fentanyl 0.25 mu g/kg with an occlusive dressing; and group 7: EMLA cream and IV fentanyl 0.25 mu g/kg with an occlusive dressing. The mean arterial pressure (MAP), heart rate, ventilatory rate, and oxygen saturation (SpO(2)) were recorded on all patients. A visual analog scale 0-100 mm (VAS) was used for the evaluation of pain. The skin integrity was inspected to detect any lesions after SWL. Results: The SPO2 in group I was lower statistically than in the other groups. The VAS score in group 7 was clearly lower than in the others in the first, tenth, and twentieth minutes and at the end of SWL. In groups 6 and 7, additional fentanyl doses were lower than in the other groups, but only in group 7 was the total fentanyl dosage low. Skin lesions were not seen only in groups 3, 6, and 7. Conclusion: Use of EMLA and an occlusive dressing with low doses of fentanyl during SWL provides appropriate analgesia with minimal morbidity.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1089/end.2005.19.589
dc.identifier.endpage594en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue5en_US
dc.identifier.pmid15989452
dc.identifier.scopus2-s2.0-22244454434
dc.identifier.scopusqualityQ1
dc.identifier.startpage589en_US
dc.identifier.urihttps://doi.org/10.1089/end.2005.19.589
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3498
dc.identifier.volume19en_US
dc.identifier.wosWOS:000230410400014
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.titleEffectiveness of eutectic mixture of local anesthetic cream and occlusive dressing with low dosage of fentanyl for pain control during shockwave lithotripsyen_US
dc.typeArticle

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