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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1988 Mar;70(2):69–73.

Comparative evaluation of general, epidural and spinal anaesthesia for extracorporeal shockwave lithotripsy.

J K Rickford 1, H M Speedy 1, J A Tytler 1, M Lim 1
PMCID: PMC2498667  PMID: 3044238

Abstract

The results of a prospective randomised evaluation of general anaesthesia (GA), epidural anaesthesia (EA) and spinal anaesthesia (SA) for extracorporeal shockwave lithotripsy are presented. GA provided speed and reliability but resulted in a high incidence of postoperative nausea, vomiting and sore throat. Both regional techniques conferred the advantages of an awake, cooperative patient, but EA required a longer preparation time than SA and more supplementary treatment with fentanyl or midazolam. A major drawback associated with the use of SA was a 42% incidence of postspinal headache. All three techniques were associated with hypotension on placement in the hoisl; bath immersion resulted in significant rises in blood pressure in the EA and SA groups and a more variable (overall non-significant) response in the GA group.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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