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KMID : 0356919920250020402
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Korean Journal of Anesthesiology
1992 Volume.25 No. 2 p.402 ~ p.407
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Sedative- Analgesic effect with Diazepam- Fentany1 for Extracorporeal Shock Wave Lithotripsy
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Abstract
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Extracorporeal shock wave lithotripsy(ESWL) for urinary calculi is usually performed under general anesthesia, regional anesthesia or intravenous anesthesia. We evaluated the sedativeanalgesic effect and untoward effects of diazepam-fentanyl for
ESWL.
60 patients were belonged to physical status 1 or 11 of asa classification who injected diazepam(5~10ng) and fentanyl(1.5ug/kg) at 2 minutes were as follows
@ES The results were as follows;
@EN 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 minutes after injection but SaO2 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 discontinuation 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.
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