Litotricia extracorpórea por ondas de choque: ansiedad y percepción del dolor

Ortiz, Carlos Torrecilla; Blanco, Leire Landaluce; Vicente, F. DíAz; Satue, C. González; pérez, L.M. Marco; Trilla, Enrique; Milá, N. Serrallach

doi:10.1016/s0210-4806(00)72423-5

Cited by 16 publications

(5 citation statements)

References 15 publications

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“…Anxiety may lead to a greater perception of pain intensity (32, 33), as seen in our patients. A recent study, using functional magnetic resonance imaging, has shown that the entorhinal cortex of the hippocampal formation responds differently to identical noxious stimuli, depending on pain‐relevant anxiety (34).…”

Section: Discussionmentioning

confidence: 51%

Post-Craniotomy Headache: Characteristics, Behaviour and Effect on Quality of Life in Patients Operated for Treatment of Supratentorial Intracranial Aneurysms

Rocha-Filho¹,

Gherpelli²,

Siqueira

et al. 2007

Cephalalgia

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We prospectively studied headache characteristics during 6 months after craniotomy performed for treatment of cerebral aneurysms in 79 patients. Semistructured interviews, headache diaries, the Hospital Anxiety and Depression Scale and the Epworth Sleepiness Scales, the Short Form-36 Health Survey (SF-36) and McGill Pain Questionnaire were used. Seventy-two patients had headaches, half before the fifth day after surgery. Changes were observed in headache diagnosis, side and site in the postoperative period. Headache frequency increased immediately after surgery and then decreased over time. Headache frequency was associated with depressive and anxiety symptoms. Pain intensity was higher in women and in patients with more anxiety symptoms. An incidence of post-craniotomy headache of 40% was observed according to International Headache Society classification criteria, 10.7% of the acute and 29.3% of the chronic type. The bodily pain domain of the SF-36 was worse in patients with more anxiety symptoms. Greater frequencies of headache were associated with lower scores on bodily pain and social functioning.

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Section: Discussionmentioning

confidence: 51%

Post-Craniotomy Headache: Characteristics, Behaviour and Effect on Quality of Life in Patients Operated for Treatment of Supratentorial Intracranial Aneurysms

Rocha-Filho¹,

Gherpelli²,

Siqueira

et al. 2007

Cephalalgia

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“…But, also with a second-generation machine, the Dornier HM4, still 95% of SWL patients experienced pain during the treatment [2]. Especially the piezoelectric lithotripters are an example for a very wide area of entry over the skin with a very small focal point.…”

Section: Introductionmentioning

confidence: 99%

Drugs for Pain Management in Shock Wave Lithotripsy

Bach

Zaman

Kachrilas

et al. 2011

Pain Research and Treatment

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Objective. With this review, we provide a comprehensive overview of the main aspects and currently used drugs for analgesia in shockwave lithotripsy. Evidence Acquisition. We reviewed current literature, concentrating on newer articles and high-quality reviews in international journals. Results. No standardized protocols for pain control in SWL exist, although it is crucial for treatment outcome. General and spinal anaesthesia show excellent pain control but are only recommended for selected cases. The newer opioids and nonsteroidal anti-inflammatory drugs are able to deliver good analgesia. Interest in inhalation anaesthesia with nitrous oxide, local anaesthesia with deep infiltration of the tissue, and dermal anaesthesia with EMLA or DMSO has recently rekindled, showing good results in terms of pain control and a favourable side effect profile. Tamsulosin and paracetamol are further well-known drugs being currently investigated. Conclusion. Apart from classically used drugs like opioids and NSARs, medicaments like nitrous oxide, paracetamol, DMSA, or refined administration techniques for infiltration anaesthesia show a good effectiveness in pain control for SWL.

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“…It is known that two different factors cause pain during ESWL. The rst factor is the pain activated by the pain receptors in the skin due to the effect of shock waves on the skin and muscle tissues, and the other is the visceral organ pain experienced due to the stretching of the renal capsule (22). These two factors can be controlled partially pharmacologically, although there are also nonpharmacological approaches to pain management that not only address the physical sensations of pain, but also try to prevent pain by improving the psycho-emotional and spiritual components of care (23).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

Özcan

Yorulmaz

Yüksel

et al. 2023

Preprint

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Background/Aims In the present study, after adapting the Extracorporeal Shock Wave Lithotripsy (ESWL) video produced by the European Association of Urology (EAU) into the Turkish language and showing it to the participating patients, we evaluated the effect on their anxiety and pain levels using the State-Trait Anxiety Inventory (STAI-I) anxiety form and the Visual Analogue Scale (VAS). Materials and Method Involved in the study were 59 patients who were evaluated in three centers between 1 July and 1 October, 2020. The patients were divided into two groups, the first of which was asked to fill out a consent form, and was shown the video and provided with verbal and written information; while the second group was provided with a consent form and provided only verbal and written information. Each group completed the STAI-I Anxiety form after being given preoperative information, while the VAS was applied after the procedure. The patients’ age, sex, BMI, stone size, stone surface area, stone side, stone location, stone-to-skin distance, the mean number of shock waves required and fluoroscopy time were compared statistically with the scores of the VAS scores and the STAI-I. Results The mean age of the 59 study patients was 40.1 ± 13.1 (16–68); the mean stone size was 12.4 ± 4.5mm, and the mean stone surface area was 99.8 ± 77.4 (15–320). There was no statistical difference in sex, age, BMI, stone size, stone surface area, stone side, stone location or stone skin distance values recorded for the two groups. The STAI-I anxiety form score was higher in Group 1 than in Group 2, and the difference was statistically significant (p = 0.004), and the recorded fluoroscopy time and VAS scores were lower in favor of Group 1 (p = 0.045 and p = 0.021) (Table 1). Conclusion Although the provision of video-guided information before ESWL led to an increase in anxiety in the patients, compliance during the procedure was improved, and the total fluoroscopy time and pain scores of the patients were decreased.

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Litotricia extracorpórea por ondas de choque: ansiedad y percepción del dolor

Cited by 16 publications

References 15 publications

Post-Craniotomy Headache: Characteristics, Behaviour and Effect on Quality of Life in Patients Operated for Treatment of Supratentorial Intracranial Aneurysms

Post-Craniotomy Headache: Characteristics, Behaviour and Effect on Quality of Life in Patients Operated for Treatment of Supratentorial Intracranial Aneurysms

Drugs for Pain Management in Shock Wave Lithotripsy

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

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