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Sedative Used During Lithotripsy
Pain from procedure: Shock waves are typically applied through an interface brought into direct contact with the skin of the flank region on the side of interest. When shock waves are delivered, they can be quite uncomfortable. Anesthesia is needed to keep the patient comfortable, but also to help the patient stay still so that the shock waves can remain focused on the stone to maximize the chances of fragmenting it ...Read more
A sedative is a medication that induces calm, relaxation, and usually, decreases anxiety. Sedatives - especially at higher doses - can induce sleep. The sleep-inducing attribute is more correctly called "hypnotic". Not surprisingly, most medications produce more than one specific effect. Therefore, one sedative may dominate in the reduction of anxiety and ...Read more
Weight limit: I believe new machines can take up to 225kg patients for ESWL. ...Read more
Yes: You receive intravenous sedation (and be glad that it's available!). ...Read more
Which is worse a dandc or lithotripsy ? I'm scared bc I have a dandc thursday.I survived a lithotripsy .
Neither is Worse: Cancer is worse, car accidents are worse, strokes, heart attacks and dementia are worse. I assume doctors have done d;c for hundreds of years. With modern medical care they are very safe. So is lithotripsy. But all procedures carry some risk. Discuss your concerns with your doctor. U know what is probably the riskiest thing? Driving to the hospital on the public highway. ...Read more
Possible, but rare.: Shock wave lithotripsy (swl) is a technology that uses focused sound waves to fragment kidney stones. These impulses have been shown to cause some disturbances of heart rhythm, usually provoking premature beats. These machines are now "gated", meaning that a simultaneous ekg delivers pulses at the safest moment of the cardiac cycle. Svt with eswl has been described in the literature, but is rare. ...Read more
Yes, like any other.: Lithotripsy is a generally safe and well tolerated procedure. Tens of thousands of these procedures are performed in the U.S. Annually. If the patient has health problems, or the stone is large and dense, complication rates may increase. Bleeding, infection, failure to pass stone fragments, blockage of the kidney requiring additional procedures, and pain are some of the possible complications. ...Read moreSee 1 more doctor answer
Depends.: Depending on the amount of stone debris you have in your kidney's urine collecting system (called the renal calyces and the renal pelvis) and the ureter. Your Urologist may take the stent out in a few days to a few weeks. The stents have to be changed periodically, so they don't become blocked. ...Read more
Vary...: Do you mean get over eswl-related discomfort or total post-eswl stone/fragment passage? For post-eswl discomfort, it may highly vary, days to weeks, depending on what you're and how your body/kidney responds to eswl. For stone/fragment passage, it may take 1 week to months, depending on the load ; density of stones and the eswl effectiveness to disintegrate them; it may take 1 week to months, or.. ...Read moreSee 1 more doctor answer
Varies: Depends on size and number of fragments. They will check you with x-rays. ...Read more
Kidney stones: Eswl uses high-energy shock waves produced by an electrical discharge, which are transmitted through water and directly focused onto a renal or ureteral stone with the aid of fluoroscopy. The change in tissue density between the soft tissues of the kidney and the hard stone results in a release of energy at the stone surface, which fragments the stone. The patient is sedated or anesthetized. ...Read more
Quicker recovery: In the old days, we did open surgery for stones where we made an incision and removed the stone. You were typically in the hospital a few days and had to recover from the incision. With eswl, you are normally treated as an outpatient and able to return to work in a couple of days. ...Read moreSee 1 more doctor answer
Minimize distress: Lithotripsy requires intubations through delicate and sensitive areas. These can be painful and there is enhanced pain from the inflammation of the kidney/ureteral stone. Also the instrument has to be carefully aimed to just fragment the stone and minimize damage to the normal tissue and this is more easily achieved while the patient is under anesthesia. ...Read more
Treatment of stones.: Lithotripsy is the process by which stones in the urinary tract are broken into small fragments. 'lithotripsy surgery' are procedures where small instruments are used to deliver mechanical, electro-hydraulic, or laser disruption of stones. Access is gained through the bladder (cystoscopy, ureteroscopy), a small flank incision (pcnl), or sometimes by laparoscopy. ...Read more
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