Anaesthesia for extracorporeal shockwave lithotripsy at the Victorian lithotripsy service―The first 300 patients

A prospective survey was undertaken of the anaesthesia for the first 300 patients at the Victorian Lithotripsy Service. The majority (71.7%) were not hospitalised on site, including four quadriplegics and two ASA grade IV patients. Two hundred and eighty-three (94.3%) patients received continuous lu...

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Published inAnaesthesia and intensive care Vol. 16; no. 3; pp. 310 - 317
Main Authors SILBERT, B. S, KLUGER, R, DIXON, G. C. E, BERG, J
Format Journal Article
LanguageEnglish
Published Edgecliff Anaesthesia and Intensive Care 01.08.1988
Subjects
Abdominal surgery. Urology. Gynecology. Obstetrics
Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Epidural
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Female
Humans
Intraoperative Complications
Kidney Calculi - therapy
Lidocaine - administration & dosage
Lithotripsy
Male
Medical sciences
Middle Aged
Postoperative Complications
Prospective Studies
Victoria
Victoria
Human
Regional anesthesia
Urinary system disease
Extradural administration
Lithotripsy
Lithiasis
Urinary tract
Shock wave
Urinary stone
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Summary:A prospective survey was undertaken of the anaesthesia for the first 300 patients at the Victorian Lithotripsy Service. The majority (71.7%) were not hospitalised on site, including four quadriplegics and two ASA grade IV patients. Two hundred and eighty-three (94.3%) patients received continuous lumbar epidural anaesthesia, sixteen (5.3%) received general anaesthesia and one received a spinal anaesthetic. Eighty-two patients (27.3%) underwent ancillary procedures at the time of extracorporeal shockwave lithotripsy. The most common intraoperative complications were hypotension (72 patients, 25.4%) and shivering (39 patients, 13.8%). Arrhythmias occurred in nine (3%) patients. There was a 90% patient follow-up rate and the most common postoperative complication was backache (101 patients, 37.4%). The problems of anaesthesia for extracorporeal shockwave lithotripsy are discussed. Epidural anaesthesia offers a number of advantages for this procedure and proved very suitable for the majority of patients.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X8801600312