Document Detail


Anesthesia for pediatric lithotripsy.
MedLine Citation:
PMID:  16490086     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SUMMARY BACKGROUND: We describe 7 years experience of providing anesthesia for children undergoing lithotripsy in a hospital without pediatric inpatient facilities. A pediatric team, including anesthetist, pediatric nurse along with the equipment travel across the city with the patient from the children's hospital. As a high incidence of postoperative vomiting and discomfort was observed, the effect of increasing intraoperative analgesia and the use of antiemetic medication was examined. METHODS: From 1998 to 2004, 69 children (49 boys and 20 girls) were anesthetized for 120 procedures: 67 extracorporeal shock wave lithotripsy (ESWL) and 53 endosurgical procedures, consisting of percutaneous nephrolithotomy (29), ureteroscopic laser lithotripsy (17) and percutaneous bladder litholapaxy (7). The mean age was 5.4 years (10 months to 13 years) and weight 23.7 kg (7.1-59 kg). ESWL was performed initially with a Wolf Piezolith 2300, and after 1999, a Dornier Compact Delta. RESULTS: Increased administration of intraoperative analgesia resulted in reduced postoperative analgesia requirements in all the groups, with a significant reduction (P < 0.05) in the endosurgical group. Those who required more postoperative analgesia had more vomiting significantly (P < 0.05). CONCLUSIONS: For ESWL postoperative pain is dependent on the type of lithotriptor and the resultant stone fragment size created. This study suggests that postoperative vomiting could be reduced more effectively by the increased administration of intraoperative analgesia, than by a single intraoperative dose of an antiemetic drug.
Authors:
Roderick D Aldridge; Roland C Aldridge; Louise M Aldridge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  16     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-21     Completed Date:  2006-08-29     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  236-41     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Royal Hospital for Sick Children, Edinburgh, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia / methods*
Anesthetics
Child
Child, Preschool
Female
Humans
Infant
Lithotripsy* / adverse effects
Lithotripsy, Laser
Male
Nephrostomy, Percutaneous
Ureteroscopy
Urinary Bladder / surgery
Urinary Calculi / surgery,  therapy*
Chemical
Reg. No./Substance:
0/Anesthetics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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