Abstract
Two patients with cardiac disease underwent Extracorporeal Shock Wave Lithotripsy (ESWL) in the Dornier HM3 machine. In order to minimize cardiovascular changes, epidural opioids (fentanyl 100 μg in 10 ml saline was used in one patient and meperidine 50 mg in 10 ml saline in the other patient) were used as an alternative to either general anaesthesia or epidural local anaesthesia. Both patients displayed haemodynamic stability, remained pain-free and experienced no complications. Epidural opioids proved a suitable form of anaesthesia for ESWL in these patients.
Résumé
Deux patients atteints de maladie cardiaque ont subi une lithotripsie extracorporelle. Afin de diminuer les effets cardiovasculaires, une épidurale aux opiacés (fentanyl 100 μg dans 10 ml de physiologique a été utilisé chez un patient et de la mépéridine 50 mg dans 10 ml de physiologique pour ľautre patient) ont été utilisés comme une alternative à ľanesthésie générale ou ľanesthésie épidurale. Les deux patients ont démontré une stabilité hémodynamique, sont demeurés libres de toute douleur et n’ont démontré aucune complication. Ľutilisation des opiacés en épidurale est une façon convenable ďanesthésier ces patients se présentant pour une lithotripsie.
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Silbert, B.S., Dixon, G.C., Kluger, R. et al. Epidural opioids as anaesthesia for extracorporeal shock wave lithotripsy in two patients with cardiac disease. Can J Anaesth 35, 624–627 (1988). https://doi.org/10.1007/BF03020351
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DOI: https://doi.org/10.1007/BF03020351