Both EMLA and Placebo Cream Reduced Pain during Extracorporeal Piezoelectric Shock Wave Lithotripsy with the Piezolith 2300

Tritrakarn, T; Lertakyamanee, Jariya; Koompong, Pisamorn; Soontrapa, Suchai; Somprakit, Pradit; Tantiwong, Anupan; Jittapapai, Sunee

doi:10.1097/00000542-200004000-00023

Cited by 28 publications

(21 citation statements)

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“…However, EMLA cream did not appear superior to placebo. 15 One of the limitations of our study is that stone analysis was not completed for our patients. The other limitation is that the stone-free rates were not compared between first and second sessions.…”

Section: Discussionmentioning

confidence: 94%

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The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception

et al. 2015

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Objectives: To research the effect of listening to music during shock wave lithotripsy (SWL) on the patient's pain control, anxiety levels, and satisfaction. Patients and methods: The study comprised 400 patients from three hospitals. Half of patients listened to music during their first SWL session but not during their second session. The other half had no music for the first session but the second session was accompanied by music. During all sessions, with and without music, pulse rates, blood pressure, State-Trait Anxiety Inventory-State Anxiety scores (STAI-SA), Visual Analog Scale (VAS scores for pain), willingness to repeat procedure (0 ¼ never to 4 happily), and patient satisfaction rates (0 ¼ poor to 4 ¼ excellent) were assessed. Results: There was no statistical difference between the two groups in terms of blood pressure and pulse rates. In both groups, the STAI-SA and VAS pain scores were lower in the session when music was listened to (p5 0.001). The patients requested more SWL treatment be completed while listening to music and their satisfaction was greater. Conclusion: Music lowered the anxiety and pain scores of patients during SWL and provided greater satisfaction with treatment. Completing this procedure while the patient listens to music increases patient compliance greatly and reduces analgesic requirements.

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Section: Discussionmentioning

confidence: 94%

“…10 Anxiety points were calculated in the following manner: of the 20 questions on the form, questions 1, 2, 5, 8,10,11,15,16,19, and 20 were reverse statements. The total points obtained from the reverse statements were subtracted from the total points of remaining direct statements.…”

Section: Anxiety and Pain Scoring Systemmentioning

confidence: 99%

The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception

et al. 2015

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“…They consider EMLA a valuable anesthetic alternative in ESWL, especially in patients in whom intravenous anesthesia cannot be used. Additionally, Tritrakarn et al [13] reported that EMLA cream may be a simple, safe and economical technique to reduce pain during ESWL.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Three Analgesic Treatment Protocols for Pain Management during Extracorporeal Shock Wave Lithotripsy

et al. 2009

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Introduction: In this prospective and randomized study, we aimed to compare the efficacy of a eutectic mixture of local anesthetics (EMLA) cream, diclofenac sodium (DS) and EMLA in combination with DS (EMLA+DS) for pain management during extracorporeal shock wave lithotripsy (ESWL). Patients and Methods: 120 patients who had undergone ESWL for renal stones were included in the study. The patients were randomized into three groups: the first group was treated with a eutectic mixture of local anesthetics cream (EMLA), while intramuscular DS was applied to the second group and EMLA+DS was applied to the third group. Pain during ESWL was assessed with the 10-score linear and visual analogue pain scale and was compared between groups. Results: Mean age was 44.4 ± 1.9 years. There was no statistically significant difference between groups regarding patients’ mean age, weight, stone size, shock waves, duration of ESWL and energy level values (p > 0.05). The mean pain score during ESWL was 3.90 ± 0.16 in the EMLA group, 3.28 ± 0.18 in the DS group and 3.05 ± 0.18 in EMLA+DS group (p = 0023). Conclusion: DS appears to be more efficient than EMLA in reducing pain during ESWL. Using EMLA+DS has no superiority in relieving pain compared to DS-only treatment.

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“…When SWL first began in 1980, it was performed with the patient under epidural or general anesthesia (1)(2)(3)(4)(5). Modifications in lithotripters over last two decades have made SWL a less painful experience (6). Most current lithotripters are powered by an electromagnetic generator.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of the efficacy of non-steroidal anti-inflammatory drugs vs. opioids for SWL using modern electromagnetic lithotripters

Mezentsev¹

2009

Int. braz j urol.

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Purpose: Clinical studies produce conflicting results on pain relief for shock wave lithotripsy (SWL). We performed a systematic review and meta-analysis to compare non-steroidal anti-inflammatory drugs (NSAIDs) and opioids in pain relief for SWL powered by an electromagnetic generator. Material and Methods: A search of MEDLINE and EMBASE was performed and all randomized controlled trials comparing NSAIDs and opioids in pain relief for SWL using modern electromagnetic lithotripters were included in the analysis. Data from 3 trials (244 patients) were pooled. The primary outcome measure was adequate analgesia, defined as "if no additional pain relief was used". The difference in the proportion of patients with adequate anesthesia was compared between the NSAIDs and opioids groups as an odds ratio and odds ratio were pooled across the 3 trials with a fixed effects model. Results: There was no statistically significant difference between using NSAIDs and opioids for pain relief during SWL using modern electromagnetic lithotripters (odds ratio 0.886, 95% CI 0.446-1,760, p = 0.730). Conclusions: Our analysis shows that in relieving pain during SWL using modern electromagnetic lithotripters NSAIDs are as effective as opioids.

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Both EMLA and Placebo Cream Reduced Pain during Extracorporeal Piezoelectric Shock Wave Lithotripsy with the Piezolith 2300

Abstract: EMLA and placebo creams under occlusive dressing reduced pain during EPSWL. The presence of the cream itself as a coupling medium contributed to analgesia. This may be a useful, simple, safe, and economical adjuvant technique to reduce pain during immersion EPSWL.

Cited by 28 publications

References 0 publications

The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception

The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception

Comparison of Three Analgesic Treatment Protocols for Pain Management during Extracorporeal Shock Wave Lithotripsy

Meta-analysis of the efficacy of non-steroidal anti-inflammatory drugs vs. opioids for SWL using modern electromagnetic lithotripters

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