Recovery room risk and outcome associated with renal extracorporeal shock wave lithotripsy.
OBJECTIVE
To determine (1) the general risk and outcome in the recovery room among 4 different anesthetic techniques associated with 2 different extracorporeal shock wave lithotripsy (ESWL) machines and (2) any gender-related differences among patients undergoing ESWL.


METHODS
Retrospective statistical analysis.


METHODS
University medical center.


METHODS
2,203 ASA physical status I-IV patients undergoing ESWL over a 46-month period.


METHODS
A review of the chart records of patients who received 1 of 4 anesthetic techniques (general, spinal, epidural, or monitored anesthesia care) on 1 of 2 ESWL machines.


RESULTS
A positive finding was defined as a complication and/or side effect of such significance as to require a treatment order or recovery room note on the patient's chart. The main complications and/or side effects were nausea and/or vomiting, flank pain, and hypertension. Female patients experienced flank pain and nausea and/or vomiting with general anesthesia and monitored anesthesia care at approximately twice the frequency of males.


CONCLUSIONS
(1) Overall, ESWL is relatively safe. Both machine types and all anesthetic techniques exhibited a low risk and good outcome. (2) There appear to be gender-related differences during ESWL. Female and male patients may have different pain and nausea and/or vomiting thresholds during ESWL.
Kovac
A L
AL
Department of Anesthesiology, University of Kansas Medical Center, Kansas City 66160-7415.
D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000009:adverse effects*; D000762:Anesthesia Recovery Period; D000767:Anesthesia, Epidural / Q000009:adverse effects; D000768:Anesthesia, General / Q000009:adverse effects; D000769:Anesthesia, Inhalation / Q000009:adverse effects; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012306:Risk