Patient-Controlled Analgesia During SWL Treatments

Abstract

Intravenous administration of a combination of alfentanil and propofol via a PCA device is an elegant, reliable, and safe method of analgesosedation for SWL. Patient satisfaction is high, and side effects are uncommon. Faster turnover of patients is possible.

The Effect of Pre-Procedure Anxiety on Pain Perception During First Session of Shock Wave Lithotripsy

“…Similar to the results of a study by Vergnolles et al (12), but contrary to that of Tailly et al (14), no significant correlation was observed between stone size and pain perception. Tailly et al (14) concluded that smaller renal stones were associated with a higher analgesic requirement, explained by a higher proportion of the energy absorbed by the surrounding renal parenchyma and not by the stone itself.…”

“…Tailly et al (14) concluded that smaller renal stones were associated with a higher analgesic requirement, explained by a higher proportion of the energy absorbed by the surrounding renal parenchyma and not by the stone itself.…”

Do anxiety, stress, or depression have any impact on pain perception during shock wave lithotripsy?

“…1,3,4,[7][8][9][10][11][12][13] In our study, no statistically significant correlation was found between VAS scores and these factors. Pain perception appears to increase according to increases in BMI and stone size; however, statistical significance was not detected, probably due to the insufficient number of patients ( Table 5).…”

“…The type of SWL machine, shock wave voltage and number, skin aperture, stone size, stone location, sex, age, and BMI are thought to affect pain perception during SWL. 1,3,4,[7][8][9][10][11][12] However, published data on this subject are contradictory. Vergnolles et al, 13 Tokgoz et al, 7 and Berwin et al 3 reported that female patients have significantly higher pain perception and require more analgesic treatments.…”

“…Vergnolles et al, 13 Tokgoz et al, 7 and Berwin et al 3 reported that female patients have significantly higher pain perception and require more analgesic treatments. Alternatively, Salinas et al 4 and Tailly et al 11 reported that there was no Pain is a subjective description. Other than pathophysiological factors, psychological and social factors may also affect pain perception.…”