Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium

Gül, Abdullah; Gül, Murat

doi:10.1007/s00240-019-01147-9

Cited by 15 publications

(14 citation statements)

References 22 publications

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“…Another hypothesis that plays a role in reducing pain with the effect of heat may involve increased intravascular prostaglandins, bradykinin, and histamine secretion as a result of the increased blood flow to the region led by heat-patch treatment. [12][13][14][15] In a preclinical trial, sympathetic blockading was found to be as- TA B L E 2 VAS scores at certain time points and change in pain intensity at 15, 30, 45, and 60 minutes for each study arm urolithiasis. 13 These findings highlight the role of the sympathetic nervous system in the perception of visceral pain.…”

Section: Discussionmentioning

confidence: 99%

An effective treatment option for pain caused by urolithiasis: A randomised‐controlled trial of local active warming with heat‐patch

Mutlu

Ertaş

Kokulu

et al. 2021

Int. J. Clin. Pract.

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For centuries, urolithiasis has been known for being one of the most painful diseases and its prevalence is increasing. 1 It is estimated that 8%-15% of people around the world would face renal colic some time in their lives. In total, urolithiasis has been diagnosed in about 12% of the US population, and every year, there are approximately 2 million treatment visits at outpatient clinics for the disease. 2 In the United States, renal colic accounts for 1% of all visits to the emergency department. However, for 50% of all patients with a history of renal calculi, this portion will rise to 50% after10 years. 1,3 Renal colic occurs as a result of spasm because of the obstruction and distension caused by calculus in the ureter. 1 As recommended by the European Association of Urology, non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are first-line treatments for renal colic. 4 However, they may cause renal injury by reducing renal blood circulation. 5,6 In addition, NSAIDs can cause gastrointestinal complications (such as ulcers and reflux). 7,8 Their use is also limited

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Section: Discussionmentioning

confidence: 99%

An effective treatment option for pain caused by urolithiasis: A randomised‐controlled trial of local active warming with heat‐patch

Mutlu

Ertaş

Kokulu

et al. 2021

Int. J. Clin. Pract.

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“…The possible mechanisms of ISWI include a gate control mechanism and diffuse noxious inhibitory control [32,33]. Studies have focused on the application of ISWI to ESWL, which demonstrated that ISWI is safe, simple, and effective for pain relief [9]. However, ISWI requires patients to endure temporary intradermal injection, which can cause severe pain, and there are few relevant studies on use in ESWL.…”

Section: Discussionmentioning

confidence: 99%

“…General anesthesia, inhalation anesthesia, spinal anesthesia, infiltrating local anesthesia, dermal anesthesia, opioids, and nonsteroidal anti-inflammatory drugs (NSAIDs) are used for pain control in ESWL. Some studies have also used ISWI for pain management in the intracutaneous sterile water injection (ISWI) procedure [9]. Among them, dermal anesthesia, opioids, and NSAIDs are most commonly applied [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Eutectic Mixture of Local Anesthetics on Pain Control During Extracorporeal Shock Wave Lithotripsy: A Systematic Review and Meta-Analysis

et al. 2020

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Departmental sources Background:The efficacy of a eutectic mixture of local anesthetics (EMLA) for pain control in extracorporeal shock wave lithotripsy is unclear. The aim of this study was to assess the effect of EMLA cream on pain control during extracorporeal shock wave lithotripsy. Material/Methods:We searched Medline, EMBASE, and the Cochrane Central Register of Controlled Trials to identify relevant randomized controlled trials that compared the pain control efficacies of EMLA vs. placebo. Study eligibility criteria, participants, and interventions: Randomized controlled trials that compared the effect of EMLA with placebo cream for patients underwent extracorporeal shock wave lithotripsy. Study appraisal and synthesis methods: Two review authors extracted data independently using a designed data extraction form and risk of bias by Cochrane Collaboration's tool. Results:Nine studies, including 10 randomized controlled trials with 1167 patients, were eligible. The EMLA group experienced less pain (mean difference, -0.47; 95% confidence interval, -0.78 to -0.16; p=0.003) and shorter duration of lithotripsy (mean difference, -1.70, 95% confidence interval: -2.31 to -1.10, p<0.0001) than the placebo group. There were no significant differences in the number of patients who needed extra intravenous medication (p=0.610), number of patients with insufficient extracorporeal shock wave lithotripsy pain control (p=0.530), and number of patients with opioid adverse effects (p=0.320). Limitations: Long interval between the studies, different kinds of lithotripters. Conclusions:EMLA can reduce pain during the ESWL procedure.

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“…Thus, many adjuvant therapies have been investigated to reduce the pain and anxiety throughout the procedure to ultimately improve compliance. Some of these methods have proven to be very effective and have been used in clinical practice such as some anesthetics, analgesics, music therapy and sterile water injection therapy [21][22][23]. Demir et al showed that decreasing discomfort and reassuring the patient are important for the success of repeated sessions of ESWL [18].…”

Section: Discussionmentioning

confidence: 99%

Eutectic mixture of local anaesthetics for pain reduction during extracorporeal shockwave lithotripsy: A systematic review and meta-analysis

et al. 2020

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A systematic review and meta-analysis was conducted to explore the effect of a eutectic mixture of local anaesthetics (EMLA) on pain reduction during extracorporeal shockwave lithotripsy (ESWL). PubMed, Web of Science, Embase, EBSCO, and Cochrane library databases (updated March 2020) were searched for randomised controlled trials (RCTs) assessing the effect of EMLA for patients that underwent ESWL. The search strategy and study selection process were managed according to the PRISMA statement. Six RCTs were included in the meta-analysis. Overall, the results indicated that EMLA significantly reduced pain compared to the control group (RR =-2.98, 95% CI =-5.82 to-0.13, P = 0.04) with a heterogeneity of I 2 = 57% (P = 0.04). Subgroup analysis showed that EMLA did not significantly reduce pain when the patients took an analgesic premedication (RR =-1.46, 95% CI =-5.89 to 2.98, P = 0.52) with a heterogeneity of I 2 = 38% (P = 0.52). Conversely, studies without premedication showed a significant pain relief effect (RR =-4.08, 95% CI =-7.36 to-0.65, P =-0.80) with a heterogeneity of I 2 = 48% (P = 0.14). Most studies showed there was no difference in the patient's need for analgesics. EMLA was effective for reducing pain during EWSL. However, this analgesic effect was limited and did not reduce the need for analgesics.

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Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium

Cited by 15 publications

References 22 publications

An effective treatment option for pain caused by urolithiasis: A randomised‐controlled trial of local active warming with heat‐patch

An effective treatment option for pain caused by urolithiasis: A randomised‐controlled trial of local active warming with heat‐patch

Efficacy of Eutectic Mixture of Local Anesthetics on Pain Control During Extracorporeal Shock Wave Lithotripsy: A Systematic Review and Meta-Analysis

Eutectic mixture of local anaesthetics for pain reduction during extracorporeal shockwave lithotripsy: A systematic review and meta-analysis

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