Patient controlled analgesia with alfentanil during extracorporeal shock wave lithotripsy

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dc.contributor.authorUyar M.
dc.contributor.authorUyar M.
dc.contributor.authorUgur G.
dc.contributor.authorMert S.
dc.contributor.authorOzyar B.
dc.contributor.authorOzyurt C.
dc.date.accessioned2019-10-27T00:27:46Z
dc.date.available2019-10-27T00:27:46Z
dc.date.issued1998
dc.departmentEge Üniversitesien_US
dc.description.abstractWe evaluated patient-controlled administration of alfentanil(PCA group) as an alternative to conventional intermittent injection technique(standard treatment group) in 40 patients undergoing extracorporeal shock wave lithotripsy (ESWL) of urinary tract calculi. After a loading dose of alfentanil (10 µg/kg) in both groups, standard treatment patients were given 5 µg/kg of alfentanil in as needed fashion. Patients using patient controlled analgesia (PCA) were allowed to self-administer 100 µg of alfentanil intravenously with a lockout interval of 5 min and 900 µg/h maintenance infusion. The two alfentanil administration techniques were equally effective in providing analgesia during the procedure. PCA patients used less alfentanil than the standard treatment group (2414±510 µg vs 3220±700 µg, respectively, p<0.05). Pain and sedation scores were comparable between the two groups. There were no significant hemodynamic differences between the two groups. Standard treatment patients had significantly lower respiratory rates and a higher oxygen desaturation episodes. Two patients in this group developed bradypnea(<10 breaths/min). Administration of alfentanil with PCA during ESWL reduces opioid requirements thus increases the safety of the procedure while providing adequate analgesia.en_US
dc.identifier.endpage41en_US
dc.identifier.issn1300-0012
dc.identifier.issn1300-0012en_US
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage37en_US
dc.identifier.urihttps://hdl.handle.net/11454/23572
dc.identifier.volume10en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofAgrien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAlfentanilen_US
dc.subjectExtracorporeal shock wave lithotripsyen_US
dc.subjectPatient controlled analgesiaen_US
dc.titlePatient controlled analgesia with alfentanil during extracorporeal shock wave lithotripsyen_US
dc.typeArticleen_US

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