Local anesthetics versus systemic analgesics for reducing pain during Extracorporeal Shock Wave Lithotripsy (ESWL): A systematic review and meta-analysis

Laksita, Tetuka Bagus; Soebadi, Mohammad Ayodhia; Wirjopranoto, Soetojo; Hidayatullah, Furqan; Kloping, Yudhistira Pradnyan; Rizaldi, Fikri

doi:10.5152/tju.2021.21143

Cited by 4 publications

(6 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the established role of extracorporeal shock wave lithotripsy (ESWL) as an effective therapeutic approach to lithotripsy, sedation and analgesics measures are required to alleviate the considerable pain triggered by the energy dissipated as the electrical (magnetic) shock waves penetrate different tissue densities of the body (6). For pain relief in this setting, previous studies have reported the use of opiate analgesics (39), patient-controlled analgesia (PCA) (40), general anesthesia (41), epidural injection (42), local anesthesia (43), and oral analgesics. Nevertheless, drug addiction and other side effects related to conventional analgesics such as dizziness, somnolence, respiratory depression, nausea, vomiting (44), and even delayed hospital discharge (45,46) remain an important clinical concern.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

et al. 2023

View full text Add to dashboard Cite

BackgroundThis meta-analysis aimed at investigating the efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy (ESWL).MethodsRandomized controlled trials comparing the efficacy of acupuncture with conventional treatments were retrieved from major electronic databases (e.g., MEDLINE, EMBASE, and Cochrane Library) until August 28, 2022. The primary outcome was the response rate (i.e., rate of pain relief), while secondary outcomes included stone-free rate, satisfaction rate, duration of ESWL, peri-/post-procedural pain score, and risk of adverse events.ResultsThirteen eligible studies involving 1,220 participants published between 1993 and 2022 were analyzed. Pooled results indicated that acupuncture had a better response rate compared to conventional treatments (RR = 1.17, 95% CI: 1.06–1.3, p = 0.003, seven trials, n = 832). Despite no difference in ESWL duration (MD = 0.02 min, 95% CI: −1.53 to 1.57, p = 0.98, three trials, n = 141), stone-free rate (RR = 1.11, 95% CI: 1–1.25, p = 0.06, six trials, n = 498), and satisfaction rate (RR = 1.51, 95% CI: 0.92–2.47, p = 0.1, three trials, n = 334) between the two groups, the acupuncture group had a lower risk of adverse events (RR = 0.51, 95% CI: 0.33–0.79, p = 0.003, five trials, n = 327), peri- (MD = −1.91 points, 94% CI: −3.53 to −0.28, p = 0.02, four trials, n = 258 patient) and post-procedural (MD = −1.07, 95% CI: −1.77 to −0.36, p = 0.003, four trials, n = 335) pain score.ConclusionThe results of this meta-analysis showed that the use of acupuncture in patients receiving ESWL was associated with a higher pain relief rate and a lower risk of adverse events, suggesting feasibility of its use in this clinical setting.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42022356327.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

et al. 2023

View full text Add to dashboard Cite

show abstract

“…This hampers the concentration of energy on the stone and reduces the success of lithotripsy [ 3 ]. The lithotripsy operator may also reduce the device's frequency and voltage due to the patient's unbearable and severe pain, resulting in a proportional decrease in lithotripsy success [ 35 ]. The most commonly used drug regimens for this purpose include NSAIDs such as diclofenac [ 36 ], sodium parecoxib [ 21 ], and opioids such as morphine [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Urinary stones are one of the most common reasons individuals seek urology clinics [ 1 ], affecting 12% of the general population [ 2 ]. Extracorporeal shock wave lithotripsy (ESWL), a non-invasive therapeutic technique using shock waves, is considered the standard treatment for upper urinary tract and kidney stones [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of acupressure on pain intensity and physiological indices in patients undergoing extracorporeal shock wave lithotripsy: a randomized double-blind sham-controlled clinical trial

Safdari,

Khazaei,

Biglarkhani

et al. 2024

BMC Complement Med Ther

View full text Add to dashboard Cite

Background Despite the widespread use of extracorporeal shock wave lithotripsy (ESWL) as a treatment for kidney stones, it is essential to apply methods to control pain and improve patient comfort during this procedure. Therefore, this study aimed to investigate the effect of acupressure at the Qiu point on pain intensity and physiological indices in patients undergoing ESWL. Methods This randomized, sham-controlled clinical trial was conducted at the Shahid Beheshti Educational-medical Center in Hamadan City (western Iran) from May to August 2023. Seventy-four eligible patients were split into intervention (n = 37) and sham (n = 37) groups. Ten minutes before lithotripsy, the intervention group received acupressure at the Qiu point, while the sham group received touch at a neutral point. The primary outcomes were pain intensity measured by the Visual Analog Scale (VAS) and physiological indices such as blood pressure and heart rate at baseline, 1, 10, 20, 30, 40, and 50 min after the intervention. The secondary outcomes included lithotripsy success and satisfaction with acupressure application. Results The analysis of 70 patients showed no significant differences in the demographic and clinical information of the patients across the two groups before the study (P > 0.05). Generalized estimating equations revealed that the interaction effects of time and group in pain and heart rate were significant at 30 and 40 min (P < 0.05). The results of this analysis for systolic blood pressure revealed a significant interaction at 30 min (P = 0.035). However, no significant interaction effects were found for diastolic blood pressure changes (P > 0.05). Conclusions Acupressure at the Qiu point positively impacts pain in patients undergoing ESWL treatment and increases their satisfaction. However, these results for physiological indices require further studies. Thus, acupressure can be considered a simple, easy, and effective option for pain management in patients during this procedure. Trial registration [https://en.irct.ir/trial/69117], identifier [IRCT20190524043687N4].

show abstract

“…[12][13][14] Pharmacological approaches may result in adverse events such as nausea, vomiting, gastric bleeding and respiratory depression etc. [15,16] Due to the prevention of adverse events, non-pharmacological methods may be preferred to control pain. Music therapy serves as one distraction method and emergers as an effective adjunct in the control of mental disorders and the improvement of care quality.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

Lei,

Li,

Tang

et al. 2024

Medicine

View full text Add to dashboard Cite

Introduction: Music therapy may have some potential in the pain control of extracorporeal shock wave lithotripsy, and this meta-analysis aims to study the analgesic efficacy of music therapy for extracorporeal shock wave lithotripsy. Methods: We have searched several databases including PubMed, EMbase, Web of Science, EBSCO and Cochrane Library databases, and selected the randomized controlled trials (RCTs) comparing the efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy. This meta-analysis was conducted using the random-effect or fixed-effect model based on the heterogeneity. Results: Ten RCTs and 879 patients were included in this meta-analysis. Compared with routine care for extracorporeal shockwave lithotripsy, music therapy was associated with substantially reduced pain scores (standard mean difference [SMD] = −1.00; 95% CI = −1.57 to −0.42; P = .0007), improved patient satisfaction (SMD = 1.61; 95% CI = 0.45 to 2.77; P = .006) and willingness to repeat (SMD = 2.06; 95% CI = 0.40 to 3.72; P = .01), but had no influence on analgesic consumption (SMD = −3.11; 95% CI = −7.07 to 0.85; P = .12) or adverse events (OR = 1.66; 95% CI = 0.20 to 14.10; P = .64). Conclusions: Music therapy was effective to control the pain of extracorporeal shock wave lithotripsy.

show abstract

Local anesthetics versus systemic analgesics for reducing pain during Extracorporeal Shock Wave Lithotripsy (ESWL): A systematic review and meta-analysis

Cited by 4 publications

References 31 publications

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

Effect of acupressure on pain intensity and physiological indices in patients undergoing extracorporeal shock wave lithotripsy: a randomized double-blind sham-controlled clinical trial

Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

Contact Info

Product

Resources

About