Sedative - Analgesic Effect with Diazepam - Fentanyl for Extracorporeal Shock Wave Lithotripsy.
10.4097/kjae.1992.25.2.402
- Author:
Byung Sik YU
1
;
Nam Soo CHO
;
Jong Han CHAE
Author Information
1. Department of Anesthesiology, College of Medicine, Chosun University, Kwang Ju, Korea.
- Publication Type:Original Article
- Keywords:
Sedative;
Analgesia;
Diazepam;
Fentanyl;
Extracorporeal shock wave lithotripsy (ESWL)
- MeSH:
Administration, Intravenous;
Analgesia;
Anesthesia, Conduction;
Anesthesia, General;
Anesthesia, Intravenous;
Classification;
Diazepam*;
Dizziness;
Fentanyl*;
Heart;
Humans;
Lithotripsy*;
Nausea;
Oxygen;
Shock*;
Urinary Calculi;
Vomiting
- From:Korean Journal of Anesthesiology
1992;25(2):402-407
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extracorporeal shock wave lithotripsy(ESWL) for urinary calculi is usually performed under general anesthesia, regional anesthesia or intravenous anesthesia. We evaluated the sedativeanalgesic effeet and untoward effects of diazepam-fentanyl for ESWL. 60 patients were belonged to physical status 1 or 11 of ASA classification who injected diazepam(5~10 mg) and fentanyl(1.5 ug/kg) at 2 minutes were as follows The results were as follows; 1) Mean arterial pressure(MAP) was significantly decreased in 3-10 minutes after injection compared to baseline value. 2) Heart rate(HR) was statistically nonsignificant but slightly decreased from 2 minutes after injection. 3) Respiratory rate(RR) and arterial oxygen saturation(SaO2) were significantly decreased until 15 miuntes after injection but SaO was not decreased below 92.7% and RR was not decreased below 13 rates/minute. 4) Pain and movement during ESWL developed in 18 cases but repositioning and discon- tinuation of EWSL were not necessary. Episodes of desaturation(SaO2<90%) developed in 2 cases. 5) Postoperative dizziness developed in 24 cases. nausea and vomiting developed in a few cases. We concluded that intravenous administration of diazepam-fentanyl is more convenient and simpler than other anesthetic technique for ESWL.
