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Sedative Used During Lithotripsy
Depends: Effectiveness depends on the level of patient anxiety, the drug or drug combination used, the dosage, the length of the procedure and the stimulation caused by the procedure. All of these must be factored in when selecting an appropriate sedation. Consult with your dentist, physician or anesthesiologist for recommendations. Never self medicate. ...Read moreSee 2 more doctor answers
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
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
Should be OK: But the best thing to do with any questions about pregnancy is to address them to the doctor who will be delivering your baby. They are in the best position to provide advice and it is always helpful to doctors to know what is happening to their patients. ...Read moreSee 1 more doctor answer
Not common: If the surgery is scheduled in advance ("elective surgery") so that a patient has been able to not eat anything for 8 hours, vomiting during induction of anesthesia is unlikely. And if it occurs, there should be very little volume of vomit and no food pieces, which makes it much less dangerous. However, there are medical conditions and medications that make the risk higher. ...Read moreSee 2 more doctor answers
Having tooth pulled. .5mg halcion (triazolam) 30 minutes prior with nitrous oxide during procedure. Is this safe? Will it put me at ease?
Does fentanyl patch can be used as sedative during minor oral surgical procedure like mandibular fracture reduction, cyst enucleation in place of ga.?
Is Conscious oral sedation for dental procedure in children safe? They will be using demerol (meperidine hydrochloride)? Any risks?
Nothing is 100% safe: But, this is not something you need to fret over. Dentist w/ experience in the pediatric population are very experienced and - next to a parent - they have all the reasons in the world to be very careful. Ask for reassurance since your worries are important too - even if unneeded. Get instructions for before/after and good info. Best! ...Read moreSee 1 more doctor answer
Yes.: I am assuming this is for a dental appointment or some similar medical reason and not for recreation. It is only safe under the supervision of a trained medico. Partying with nitrous oxide can result in brain damage or even death because no one is making sure you get enough oxygen! ...Read more
Recovery: An opiod antagonist would not be used before surgery unless a person arrived impaired with hypoventilation from too much narcotics they took at home. I do not believe it would be used during surgery either. Postoperative use would be reserved for possible narcotic effect on the patient's respiratory abilities on recovering from the anesthetic after completion of the operation. ...Read moreSee 1 more doctor answer
Yes: That's its main purpose. It's not in wide use today, except as a sedative for eegs (it's one of few sedatives that leave brainwaves intact). Better and safer sedatives like benzodiazepines (valium, ativan) have supplanted chloral hydrate. Have you heard the expression "slipped him a mickey"? That came from the practice of putting Chloral Hydrate drops in someone's drink to knock them out. ...Read more
For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? Can sedative be given before spinal?
C-section : Safety is a priority and regional anesthesia is safer for c-sections. Patient can be sedated with versed if it is nessasary. General anesthesia is rarely done, mostly for emergencies , for failed regionals or debilitated patients, who can not cooperate. Effects of sedatives can be reversed in newborn in rare situations where it becomes nessasary. ...Read moreSee 4 more doctor answers
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
4 days after lithotripsy for 1 8 mm stone (still have another) and haven't passed any fragments. Possible or could the stone been blasted so finely?
May be...: Dod you mean eswl or lithotripsy through urethra ot bladder up to ureter/kidney? The post-rx sand/fragment passage may behave somewhat different. The size of sand/fragment after eswl highly varies depending on stone hardness; the ones after transurethral tends to be coarser. But, not seeing sands / fragments 4 days after either may be not unusual; so, don't worry, but take a kub as post-rx f/u... ...Read moreSee 1 more doctor answer
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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