ANESTHETIC REQUIREMENTS DURING ELECTROMAGNETIC EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY

被引：1

作者：

VANDEURSEN, H ^{[1
]}

PITTOMVILS, G ^{[1
]}

MATURA, E ^{[1
]}

BOVING, R ^{[1
]}

BAERT, L ^{[1
]}

机构：

[1] CATHOLIC UNIV LEUVEN,HOSP ST PIETER,DEPT UROL,BRUSSELSESTR 69,B-3000 LOUVAIN,BELGIUM

来源：

UROLOGIA INTERNATIONALIS | 1991年 / 47卷 / 02期

关键词：

EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY; OUTPATIENT;

D O I：

10.1159/000282191

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

An important aspect of modem extracorporeal shock wave lithotripsy is the ability to perform the procedure without anesthesia. Between June 1987 and April 1990, a total of 7,500 treatments were performed in our Lithotripsy Unit, using the Lithostar (Siemens AG, Erlangen, FRG): moreover 80% of the treatments were carried out as an anesthesia-free outpatient service. All treatments were reviewed for anesthetic requirements. Epidural anesthesia was performed in 74/7,500 (0.98%) treatments: during the initial period, the first 70 procedures were systematically performed under epidural anesthesia, and in 4 later cases of simultaneous endoscopic stone manipulation. Local skin infiltration was applied at the coupling site in 658/7,500 (8.7%) treatments. With increasing experience and technological improvement, 6,229/7,500 (83%) procedures were performed later on with only mild sedation: 1 mg of lorazepam orally 30 min before the treatment. Intravenous sedation was required in 510/7,500 (6.8%) cases because of painful local irritation, especially when treating calculi close to sites where shock waves can progress along the ribs. General anesthesia was required in all 28 children (0.4%).

引用

页码：77 / 80

页数：4

共 7 条

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