Journal of endourology
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Journal of endourology · Apr 2008
Randomized Controlled Trial Comparative StudyAnalgesia during extracorporeal shockwave lithotripsy: fentanyl citrate versus parecoxib sodium.
Shockwave-induced pain may become an important issue during extracorporeal shockwave lithotripsy (SWL), although the new generation of lithotriptors generally produces less pain than previous models. The aim of the study was to compare the analgesic effect of a cyclooxygenase-2-specific inhibitor (parecoxib sodium) with that of our standard method of analgesia (fentanyl citrate) in patients who needed pain relief when undergoing SWL. ⋯ Parecoxib sodium was not as effective as fentanyl citrate in alleviating pain during SWL. Its use, however, may lower the dose of opioid-based analgesia in this group of patients.