Abstract |
We have investigated 60 patients in a prospective double-blind, placebo-controlled study to assess the efficacy of EMLA (Eutectic Mixture of Local Anaesthetics) cream to provide analgesia during extracorporeal shock wave lithotripsy (ESWL) with a second generation lithotriptor. Before operation, EMLA or placebo cream was applied to the patient's back at the anticipated shock head-skin interface. During the procedure increments of fentanyl 0.5 micrograms kg-1 were given i.v. on patient demand. There was no significant difference (P = 0.83) in the dose of fentanyl given to each group. We cannot recommend, therefore, the use of EMLA cream as an analgesic during ESWL with a second generation lithotriptor.
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Authors | P F McDonald, A M Berry |
Journal | British journal of anaesthesia
(Br J Anaesth)
Vol. 69
Issue 4
Pg. 399-400
(Oct 1992)
ISSN: 0007-0912 [Print] England |
PMID | 1419450
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
- Anesthetics, Local
- Drug Combinations
- Lidocaine, Prilocaine Drug Combination
- Prilocaine
- Lidocaine
- Fentanyl
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Topics |
- Anesthesia, Local
(methods)
- Anesthetics, Local
- Double-Blind Method
- Drug Administration Schedule
- Drug Combinations
- Fentanyl
(administration & dosage)
- Humans
- Kidney Calculi
(therapy)
- Lidocaine
- Lidocaine, Prilocaine Drug Combination
- Lithotripsy
- Prilocaine
- Prospective Studies
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