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Extracorporeal Shock Wave Lithotripsy Using Only Intravenous Analgesia with an Unmodified Dornier HM3 Lithotripter

  • Daniel M. Newman
  • James E. Lingeman
  • Phillip G. Mosbaugh
  • Ronald E. Steele
  • Peter M. Knapp
  • Cindy L. Hutchinson

Abstract

The original Dornier HM3 lithotripter required general or regional anesthesia for virtually all patients. Treatment at lower pressures can be accomplished with this machine by reducing the kilovoltage (kV) to 12 kV to 16 kV, allowing treatment using intravenous sedation alone. Many patients with single or multiple stones of low to medium volume can be successfully treated with this new technique. General or regional anesthesia is reserved for patients requiring auxiliary procedures (i.e., retrograde stone manipulation, placement of ureteral stents), for patients with large stone volume or dense stones, for patients with a known high incidence of retreatment, or by patient preference. One hundred fifteen patients treated with this new approach are compared to previous experience with the HM3 utilizing 18 kV to 24 kV and general or regional anesthesia.

Keywords

Regional Anesthesia Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ureteral Calculus Kidney Stone Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Drach GW, Dretler SP, Fair WR, et al: Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol 135: 1127, 1986.PubMedGoogle Scholar
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    Lingeman JE, Coury TA, Newman DM, et al: Comparison of results and morbidity of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. J Uro1138:485, 1987.Google Scholar
  3. 3.
    Newman DM, Scott JW, Lingeman JE, et al: Two-year follow-up of patients treated with extracorporeal shock wave lithotripsy. J Endourol 2: 163, 1988.CrossRefGoogle Scholar
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    Whelan JP and Finlayson B: Experimental model for systematic investigation of stone fracture by extracorporeal shock wave lithotripsy. J Urol 140: 395, 1988.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Daniel M. Newman
    • 1
  • James E. Lingeman
    • 1
  • Phillip G. Mosbaugh
    • 1
  • Ronald E. Steele
    • 1
  • Peter M. Knapp
    • 1
  • Cindy L. Hutchinson
    • 1
  1. 1.Institute for Kidney Stone DiseaseMethodist Hospital of IndianaIndianapolisUSA

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