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[Optimized analgesic sedation techniques for ESWL].

K Stubbig1, H Böhrer, H Bauer

  • 1Klinik für Anästhesiologie der Ruprecht-Karls-Universität Heidelberg.

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|October 1, 1991
PubMed
Summary
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This study shows that a specific analgosedative regimen effectively manages pain and vital signs during ESWL treatment, improving patient acceptance. Anxiolytic premedication further enhanced patient comfort by reducing blood pressure and heart rate.

Area of Science:

  • Anesthesiology
  • Nephrology

Background:

  • Analgo-sedation for Extracorporeal Shock Wave Lithotripsy (ESWL) presents challenges.
  • Maintaining hemodynamic stability and adequate oxygenation is crucial.
  • Patient acceptance and comfort are important considerations for minimally invasive procedures.

Purpose of the Study:

  • To evaluate the effectiveness of a specific analgosedative regimen for ESWL.
  • To assess hemodynamic stability, oxygenation, and patient acceptance.
  • To investigate the impact of anxiolytic premedication on patient outcomes.

Main Methods:

  • 50 ASA I-III patients undergoing ESWL were randomized.
  • Group 1: No premedication. Group 2: Oral chlorazepam premedication.
  • An identical analgosedative technique (atropine, droperidol, alfentanil) was used in both groups, with monitoring of vital signs.

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Main Results:

  • The analgosedative regimen ensured stable hemodynamics and adequate oxygenation in all patients.
  • Patient acceptance of the procedure was good.
  • Patients receiving anxiolytic premedication showed reduced blood pressure and heart rate.

Conclusions:

  • The evaluated analgosedative regimen is effective and suitable for ESWL in ASA I-III patients.
  • Anxiolytic premedication can further improve patient comfort during ESWL.
  • There is a potential for anesthesiologists to underestimate patient-reported pain intensity.