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The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy
Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive procedure that allows urinary stones to be fragmented using acoustic shock waves. The impact of the shock waves causes transient stinging pain at the entry site as well as deep visceral discomfort, requiring analgesia during the procedur...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Springer-Verlag
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2082064/ https://www.ncbi.nlm.nih.gov/pubmed/17982746 http://dx.doi.org/10.1007/s00240-007-0120-6 |
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author | Mazdak, Hamid Abazari, Parvaneh Ghassami, Fatemeh Najafipour, Shekoofeh |
author_facet | Mazdak, Hamid Abazari, Parvaneh Ghassami, Fatemeh Najafipour, Shekoofeh |
author_sort | Mazdak, Hamid |
collection | PubMed |
description | Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive procedure that allows urinary stones to be fragmented using acoustic shock waves. The impact of the shock waves causes transient stinging pain at the entry site as well as deep visceral discomfort, requiring analgesia during the procedure. The objective of this study was to compare the clinical efficacy of Entonox and pethidine for pain relief during outpatient ESWL. We randomized 150 outpatients undergoing elective ESWL into three groups of 50 patients, each group receiving inhalational Entonox, intravenous pethidine, or inhalational compressed air during ESWL. Quantitative evaluation of pain was performed according to a visual analogue scale (VAS), before and after the intervention. Analysis of variance (ANOVA) and paired t tests were used to compare VAS scores in the three groups, before and after the intervention. Entonox and pethidine decreased the pain score significantly, while compressed air did not. There was no significant difference between pain relief by Entonox and pethidine. This study demonstrates for the first time that inhalational Entonox is an effective analgesic regimen for ESWL. Entonox can be regarded as an appropriate alternative to analgesics like opioids in relieving pain during ESWL. |
format | Text |
id | pubmed-2082064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-20820642007-11-20 The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy Mazdak, Hamid Abazari, Parvaneh Ghassami, Fatemeh Najafipour, Shekoofeh Urol Res Original Paper Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive procedure that allows urinary stones to be fragmented using acoustic shock waves. The impact of the shock waves causes transient stinging pain at the entry site as well as deep visceral discomfort, requiring analgesia during the procedure. The objective of this study was to compare the clinical efficacy of Entonox and pethidine for pain relief during outpatient ESWL. We randomized 150 outpatients undergoing elective ESWL into three groups of 50 patients, each group receiving inhalational Entonox, intravenous pethidine, or inhalational compressed air during ESWL. Quantitative evaluation of pain was performed according to a visual analogue scale (VAS), before and after the intervention. Analysis of variance (ANOVA) and paired t tests were used to compare VAS scores in the three groups, before and after the intervention. Entonox and pethidine decreased the pain score significantly, while compressed air did not. There was no significant difference between pain relief by Entonox and pethidine. This study demonstrates for the first time that inhalational Entonox is an effective analgesic regimen for ESWL. Entonox can be regarded as an appropriate alternative to analgesics like opioids in relieving pain during ESWL. Springer-Verlag 2007-11-03 2007-12 /pmc/articles/PMC2082064/ /pubmed/17982746 http://dx.doi.org/10.1007/s00240-007-0120-6 Text en © Springer-Verlag 2007 |
spellingShingle | Original Paper Mazdak, Hamid Abazari, Parvaneh Ghassami, Fatemeh Najafipour, Shekoofeh The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title | The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title_full | The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title_fullStr | The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title_full_unstemmed | The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title_short | The analgesic effect of inhalational Entonox for extracorporeal shock wave lithotripsy |
title_sort | analgesic effect of inhalational entonox for extracorporeal shock wave lithotripsy |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2082064/ https://www.ncbi.nlm.nih.gov/pubmed/17982746 http://dx.doi.org/10.1007/s00240-007-0120-6 |
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