title: [Patient-controlled sedation with propofol for extracorporeal shock wave lithotripsy].
abstract: OBJECTIVE
  Evaluation of patient-controlled sedation with propofol for extracorporeal shock wave lithotripsy (ESWL) using an EDAP LT01 lithotriptor.
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  Fifty consecutive patients, ASA I or II, aged 18-65 years.
  
  
  METHODS
  Patients received 50 mg of propofol five minutes before ESWL, then they self-administered 50 mg bolus doses of propofol with a ten minutes lock-out interval. Pain (1-100 mm VAS) and sedation (four points scale) were assessed every five minutes. Patient satisfaction was recorded at the end of the procedure. Pharmacokinetic simulation was done with the Marsh's data set.
  
  
  RESULTS
  Three patients were excluded. Patients received a mean propofol dose of 147 +/- 68 mg during the procedure with a mean duration of 47 +/- 8 minutes. The median of the higher sedation scores was 2 (drowsy) and mean maximal VAS was 40 +/- 20 mm (10-70). No complications were recorded. Thirty-nine patients (83%) were satisfied or very satisfied by patient-controlled sedation.
  
  
  CONCLUSIONS
  Patient-controlled sedation with propofol is a safe and efficient mode of administration of an hypnotic agent for ESWL.
authors.affiliation: Département d'anesthésie-réanimation I, CHU Pellegrin, Bordeaux, France.
authors.forename: F
authors.initials: F
authors.lastname: Sztark
authors.forename: C
authors.initials: C
authors.lastname: Bourdallé-Badie
authors.forename: J L
authors.initials: JL
authors.lastname: Pariente
authors.forename: A
authors.initials: A
authors.lastname: Lamore
authors.forename: P L
authors.initials: PL
authors.lastname: Gardien
authors.forename: P
authors.initials: P
authors.lastname: Erny
mesh_terms: D000328:Adult; D000368:Aged; D016058:Analgesia, Patient-Controlled; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage* / Q000627:therapeutic use*; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D015742:Propofol / Q000008:administration & dosage* / Q000627:therapeutic use*; D011446:Prospective Studies
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol
vernacular_title: Sédation contrôlée par le patient avec du propofol au cours de la lithotritie extracorporelle rénale.