[Extracorporeal shockwave lithotripsy in sedation-analgesia].
The aim of the present study was to examine the effects of combined sedation and analgesia during extracorporeal shockwave lithotripsy using the Dornier lithotriptor HM III. We used a combination of a benzodiazepin derivatives with an opioid. We tested the dosage of drugs needed in relation to the length of treatment, the size of the stone and the overall energy output of the lithotriptor. In addition, continuous records were made of the patient's blood pressure and the oxygen saturation in the blood, with and without oxygen insufflation. Our results show that sedation combined with analgesia is a reasonable and useable alternative to general or regional anaesthesia for extracorporeal lithotripsy.
Berger
M
M
Institut für Anästhesie des Krankenhauses der Stadt Wien, Lainz.
Brandstetter
A
A
Chowanetz
E
E
Gasser
G
G
Mossig
H
H
Schmidt
P
P
D000765:Anesthesia, Conduction; D004359:Drug Therapy, Combination; D005260:Female; D005445:Flunitrazepam / Q000008:administration & dosage; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010892:Pirinitramide / Q000008:administration & dosage
D006993:Hypnotics and Sedatives; D010892:Pirinitramide; D005445:Flunitrazepam; D008874:Midazolam; D010100:Oxygen
Extrakorporale Stosswellenlithotripsie in Sedoanalgesie.