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Percutaneous nephrolithotomy under a multimodal analgesia regime
Evangelos Aravantinos1, Nikolaos Kalogeras, Georgia Stamatiou
1Department of Urology, University of Thessaly, Larissa, Greece.
Journal of Endourology
|April 29, 2009
Summary
This study shows that a multimodal analgesia regimen is a safe and effective option for percutaneous nephrolithotomy (PCNL). Patients tolerated the procedure well with minimal pain and no serious side effects.
Area of Science:
- Urology
- Anesthesiology
- Pain Management
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
- Effective pain management is crucial for patient recovery after PCNL.
- Current anesthesia options may have limitations or side effects.
Purpose of the Study:
- To assess the feasibility of performing PCNL using a multimodal analgesia approach.
- To evaluate the safety and tolerability of this specific pain management strategy.
Main Methods:
- 51 patients undergoing PCNL were enrolled over 3 years.
- A multimodal regimen included paracetamol, COX-2 inhibitor, epidural morphine, and local anesthetics.
- Ultrasound guidance was used for renal access; pain was assessed postoperatively.
Main Results:
- All 51 patients completed the study; PCNL was well-tolerated.
- Complications were related to PCNL, not the analgesia regimen.
- No morphine-related side effects were observed; postoperative analgesic use was minimal.
Conclusions:
- The multimodal analgesia regimen is a safe and well-tolerated alternative to general or regional anesthesia for PCNL.
- This approach can enhance patient comfort and recovery post-PCNL.
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