Meralgia paresthetica after the fragmentation of renal stone using extracorporeal shock wave lithotripsy: a case report

2015 ◽  
Vol 116 (3) ◽  
pp. 423-424
Author(s):  
Serdar Taşdemir ◽  
Ümit Hıdır Ulaş ◽  
Mehmet Yücel ◽  
Ahmet Çetiz
Keyword(s):  
Shock Wave ◽  
Case Report ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Renal Stone ◽  
Meralgia Paresthetica ◽  
Extracorporeal Shock Wave

scholarly journals Neuropathy Mimicking Radiculopathy After Extracorporeal Shock Wave Lithotripsy Treatment: A Case Report

2021 ◽  
Vol 10 (2) ◽  
pp. 102-105
Author(s):  
Mahmut Taha Ölçücü ◽  
Kayhan Yılmaz ◽  
Çağatay Özsoy ◽  
Yasemin Bicer Gomceli ◽  
Mutlu Ateş
Keyword(s):  
Shock Wave ◽  
Case Report ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Extracorporeal Shock Wave

scholarly journals Ultrasound-guided Paravertebral Block Versus Intravenous Sedative Analgesic using Midazolam /Fentanyl in Patients Undergoing Extracorporeal Shock Wave Lithotripsy

2021 ◽  
pp. 1-10
Author(s):  
Fatma M. Elaiashy ◽  
Mohamed M. Abu Elyazd ◽  
Ahmed A. Eldaba ◽  
Tarek A. Gameel
Keyword(s):  
Shock Wave ◽  
Success Rate ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Renal Stone ◽  
Paravertebral Block ◽  
Ultrasound Guided ◽  
Stone Clearance ◽  
Extracorporeal Shock Wave ◽  
Fentanyl Group

Background: Thoracic paravertebral block (TPVB) produces ipsilateral somatic and sympathetic nerve blockade in multiple contiguous dermatomes both above and below the site of injection.  The Aim of This Study: was to compare the effectiveness of ultrasound-guided TPVB versus intravenous (IV) sedative analgesic using midazolam / fentanyl in patients undergoing extracorporeal shock wave lithotripsy (ESWL) procedure. Patients and Methods: This prospective, randomized study was carried out on sixty patients aged 20-60 years, with radio-opaque renal stone not more than1.5cm. TPVB group (30 patients) received ipsilateral ultrasound-guided TPVB at the level T9-T10 using bupivacaine 0.25% (20 mL) about 30 minutes before the ESWL. Midazolam/fentanyl group (30 patients) received sedatives analgesic drugs using IV midazolam (0.05 mg / kg) and fentanyl (1 µg/kg) about 5 min before the ESWL. The VAS score during and 30 min post procedure, total dose of rescue analgesic consumption during ESWL procedure, the success rate of ESWL, the time needed to stone clearance, patient and operator satisfaction scores were recorded. Result: During and after ESWL procedure, the VAS scores were significantly higher in midazolam/fentanyl group than TPVB group (P < 0.05). The number of patients required rescue analgesic during ESWL was significantly higher in midazolam/fentanyl group compared to TPVB group (P < 0.05).The success rate of ESWL was insignificantly different between both groups (P > 0.05). The time needed to stone clearance was significantly shorter in TPVB group compared to midazolam/fentanyl group (P < 0.05). Conclusions: Ultrasound-guided TPVB provided more effective analgesia with reduced number of ESWL sessions and shorter time to renal stone clearance than IV midazolam/fentanyl.

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