Choosing the correct pain relief for extracorporeal lithotripsy

Dawson, Christopher W.; Vale, Justin; Corry, D.A.; Cohen, Nicholas; Gallagher, John J.; Nockler, I. B.; Whitfield, H. N.

doi:10.1111/j.1464-410x.1994.tb16615.x

Cited by 37 publications

(31 citation statements)

References 23 publications

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“…Only 18% of the patients who were given 100 mg rectal diclofenac needed opioids after the procedure [21]. Also, pain requiring opioids was not seen in 70% of the patients who had midazolam and in 87% of the patients who had midazolam plus buprenorphine [22]. Giving midazolam, diclofenac, or tramadol to patients before the procedure is a safe and cheap method.…”

Section: Pain Management After Urological Procedures Shock Wave Lithomentioning

confidence: 99%

Postoperative Pain Management in Urology

2016

Ann Clin Anal Med

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Section: Pain Management After Urological Procedures Shock Wave Lithomentioning

confidence: 99%

Postoperative Pain Management in Urology

2016

Ann Clin Anal Med

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“…There are numerous factors influencing amount of pain during SWL. Apart from patient-related factors, the type of lithotripter, shockwave peak pressure, the size of the focal zone, and the area of shockwave entry at the skin can change the severity and duration of the pain (17)(18)(19)(20). For maximal patient comfort, the most suitable drug for SWL should provide sufficient sedation, adequate analgesia, minimal side effects, and rapid recovery.…”

Section: Commentsmentioning

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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“…It has been reported that patients may develop anxiety as a result of highenergy shock waves affecting cutaneous pain receptors, pain occurring due to increased intrapelvic pressure and renal capsule tension, and because of the sound the device emits during procedure. [4][5][6][7][8] Studies have reported correlations between anxiety and type of lithotripter, frequency used, and voltage intensity. In addition, several factors related to the patients themselves and the environment have been found to be associated with anxiety.…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Shock Wave Therapy Success Rate in Management of Renal Stones and Patient Anxiety

Şahin¹

2017

South Clin Ist Euras

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Objective: The purpose of this study was to evaluate the success rate of shock wave lithotripsy (SWL) and possible effects on the anxiety status of patients.Methods: Anxiety status of 128 patients was evaluated using State and Trait Anxiety Inventory (STAI) scale. Three groups were created depending on stone condition: Group 1, completely stone-free; Group 2, asymptomatic residual fragments; and Group 3, fragments requiring additional procedures. Anxiety was evaluated comparatively according to analgesic need and emergency department referrals. Results:Mean score in all 3 groups 1 month after treatment showed significant decrease; however, this decrease was smaller in Group 3 than the other 2 groups. Pairwise evaluation of mean STAI scores revealed significant difference between Group 3 and other groups. Similarly, analgesic need and emergency department referral rate were higher in Group 3. Conclusion:Residual fragments after SWL procedure may affect the anxiety status of the treated patients due to both symptoms they experience and need for additional procedures. We believe that detailed information should be provided to patients with respect to procedure, possible complications, and potential need for additional treatment.

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Choosing the correct pain relief for extracorporeal lithotripsy

Cited by 37 publications

References 23 publications

Postoperative Pain Management in Urology

Postoperative Pain Management in Urology

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

Comparative Analysis of Shock Wave Therapy Success Rate in Management of Renal Stones and Patient Anxiety

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