Document Detail


Sticks and stones: use of acupuncture in extracorporeal shockwave lithotripsy.
MedLine Citation:
PMID:  14744351     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Extracorporeal shockwave lithotripsy (SWL) is an effective noninvasive, outpatient method of stone clearance. In our unit, it is performed using a combination of oral analgesia and intravenous sedation, which allows us to treat to therapeutic levels in the vast majority of our patients. However, we have encountered patients who do not tolerate various elements of the analgesia protocol and thus cannot be treated to full effect. The options for these people are currently limited to either SWL under formal sedation or epidural or general anesthetic or the use of another technique of stone clearance, such as percutaneous nephrolithotomy, which may not be as appropriate, and again necessitates an anesthetic, an inpatient stay, or both. PATIENTS AND METHODS: We describe three patients who had previously failed SWL who received acupuncture in place of standard analgesia prior to the next treatment. RESULTS: All three patients were able to tolerate the procedure better and were treated at a higher level with more shocks than in the previous session. No side effects were noted. CONCLUSIONS: We propose that acupuncture may be considered in patients unable to take standard sedoanalgesia. It is a cost-effective, safe method of inducing sedation with analgesia and had no demonstrable side effects in our series. It provides an attractive alternative to the use of general or regional anesthetics in these patients.
Authors:
Nadine Quatan; Christine Bailey; Anna Larking; P John Boyd; Nicholas Watkin
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  17     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-01-27     Completed Date:  2004-04-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  867-70     Citation Subset:  IM    
Affiliation:
Department of Urology, St. George's Hospital, Blackshaw Road, London SW17 0RE, UK. nquatan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acupuncture Therapy / methods*
Administration, Oral
Analgesics / adverse effects,  therapeutic use
Combined Modality Therapy
Conscious Sedation
Humans
Infusions, Intravenous
Lithotripsy / methods*
Pain / prevention & control*
Pain Measurement
Patient Satisfaction
Risk Assessment
Sampling Studies
Treatment Outcome
Urinary Calculi / diagnosis,  therapy*
Chemical
Reg. No./Substance:
0/Analgesics
Comments/Corrections
Comment In:
J Endourol. 2004 Feb;18(1):127   [PMID:  15006067 ]

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


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