• Ann R Coll Surg Engl · Mar 1988

    Randomized Controlled Trial Comparative Study Clinical Trial

    Comparative evaluation of general, epidural and spinal anaesthesia for extracorporeal shockwave lithotripsy.

    • J K Rickford, H M Speedy, J A Tytler, and M Lim.
    • St Thomas's Hospital, London.
    • Ann R Coll Surg Engl. 1988 Mar 1; 70 (2): 69-73.

    AbstractThe results of a prospective randomised evaluation of general anaesthesia (GA), epidural anaesthesia (EA) and spinal anaesthesia (SA) for extracorporeal shockwave lithotripsy are presented. GA provided speed and reliability but resulted in a high incidence of postoperative nausea, vomiting and sore throat. Both regional techniques conferred the advantages of an awake, cooperative patient, but EA required a longer preparation time than SA and more supplementary treatment with fentanyl or midazolam. A major drawback associated with the use of SA was a 42% incidence of postspinal headache. All three techniques were associated with hypotension on placement in the hoisl; bath immersion resulted in significant rises in blood pressure in the EA and SA groups and a more variable (overall non-significant) response in the GA group.

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