Litotricia por ondas de choque con música: un tratamiento menos doloroso y más satisfactorio

Jurado, David; Alba, A. Budía; Mateu, P. Bahílo; Villa, M. Trassierra; López-Acón, D.; Tormo, F. Boronat

doi:10.1016/j.acuro.2017.01.012

Cited by 4 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, many adjuvant therapies have been investigated to reduce the pain and anxiety throughout the procedure to ultimately improve compliance. Some of these methods have proven to be very effective and have been used in clinical practice such as some anesthetics, analgesics, music therapy and sterile water injection therapy [21][22][23]. Demir et al showed that decreasing discomfort and reassuring the patient are important for the success of repeated sessions of ESWL [18].…”

Section: Discussionmentioning

confidence: 99%

Eutectic mixture of local anaesthetics for pain reduction during extracorporeal shockwave lithotripsy: A systematic review and meta-analysis

et al. 2020

View full text Add to dashboard Cite

A systematic review and meta-analysis was conducted to explore the effect of a eutectic mixture of local anaesthetics (EMLA) on pain reduction during extracorporeal shockwave lithotripsy (ESWL). PubMed, Web of Science, Embase, EBSCO, and Cochrane library databases (updated March 2020) were searched for randomised controlled trials (RCTs) assessing the effect of EMLA for patients that underwent ESWL. The search strategy and study selection process were managed according to the PRISMA statement. Six RCTs were included in the meta-analysis. Overall, the results indicated that EMLA significantly reduced pain compared to the control group (RR =-2.98, 95% CI =-5.82 to-0.13, P = 0.04) with a heterogeneity of I 2 = 57% (P = 0.04). Subgroup analysis showed that EMLA did not significantly reduce pain when the patients took an analgesic premedication (RR =-1.46, 95% CI =-5.89 to 2.98, P = 0.52) with a heterogeneity of I 2 = 38% (P = 0.52). Conversely, studies without premedication showed a significant pain relief effect (RR =-4.08, 95% CI =-7.36 to-0.65, P =-0.80) with a heterogeneity of I 2 = 48% (P = 0.14). Most studies showed there was no difference in the patient's need for analgesics. EMLA was effective for reducing pain during EWSL. However, this analgesic effect was limited and did not reduce the need for analgesics.

show abstract