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Comparison of three different analgesic protocols during shockwave lithotripsy
Fatih Ozkan1, Fikret Erdemir, Unal Erkorkmaz
1Department of Anesthesiology, Gaziosmanpasa University, Tokat, Turkey.
Journal of Endourology
|November 5, 2011
Summary
Lornoxicam effectively reduced pain and analgesic needs during shockwave lithotripsy (SWL) compared to paracetamol and tramadol. This study suggests lornoxicam as a superior analgesic option for SWL procedures.
Area of Science:
- Urology
- Pain Management
- Pharmacology
Background:
- Shockwave lithotripsy (SWL) is a key treatment for urinary stones.
- Patient comfort and pain management are critical during SWL.
- A standardized analgesic protocol for SWL is currently lacking.
Purpose of the Study:
- To compare the efficacy of three different analgesic agents during SWL.
- To evaluate pain intensity and analgesic consumption in patients undergoing SWL.
Main Methods:
- 95 patients with kidney stones were randomized into three groups.
- Groups received lornoxicam, paracetamol, or tramadol (patient-controlled analgesia).
- Pain was assessed using the visual analog scale (VAS).
Main Results:
- No significant differences in age, stone location, or session duration were observed.
- Lornoxicam group showed significantly lower mean VAS scores and analgesic consumption.
- Lornoxicam demonstrated superior efficacy compared to paracetamol and tramadol.
Conclusions:
- Intravenous lornoxicam reduced the need for additional analgesics during SWL.
- Lornoxicam is a more effective analgesic option than paracetamol and tramadol for SWL.
- Findings support the use of lornoxicam for improved patient comfort during SWL.
