Korean J Anesthesiol.  1992 Apr;25(2):402-407. 10.4097/kjae.1992.25.2.402.

Sedative - Analgesic Effect with Diazepam - Fentanyl for Extracorporeal Shock Wave Lithotripsy

• Yu BS
• Cho NS
• Chae JH

• KMID: 2240594
• DOI: http://doi.org/10.4097/kjae.1992.25.2.402

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.

Keyword

Sedative; Analgesia; Diazepam; Fentanyl; Extracorporeal shock wave lithotripsy (ESWL)

MeSH Terms

Administration, Intravenous
Analgesia
Anesthesia, Conduction
Anesthesia, General
Anesthesia, Intravenous
Classification
Diazepam*
Dizziness
Fentanyl*
Heart
Humans
Lithotripsy*
Nausea
Oxygen
Shock*
Urinary Calculi
Vomiting
Diazepam
Fentanyl
Oxygen