Limits...
Pain control using pethidine in combination with diazepam compared to diclofenac in combination with hyoscine-n-butyl bromide: in patients undergoing extracorporeal shock wave lithotripsy.

Demir A, Cecen K, Karadag MA, Uslu M, Arslan OE - Cent European J Urol (2015)

Bottom Line: The mean age with SD according to each group was 42.03 (±16.43) and 42.56 (±14.23), respectively (p = 0.8).With regard to pain scores (using the Wong-Baker and VAS scales), the responses were significantly lower in the second group (p <0.001).Pethidine in combination with diazepam was superior to diclofenac and Hyoscine-N-butyl bromide for pain in patients undergoing ESWL.

View Article: PubMed Central - PubMed

Affiliation: Kafkas University, Medical School, Department of Urology, Kars, Turkey.

ABSTRACT

Introduction: Extracorporeal Shock Wave Lithotripsy (ESWL) remains the preferred least invasive treatment for urinary tract stones. The main purpose of this study was to compare two treatment modalities for pain control during the ESWL procedure.

Material and methods: From 2013 to 2014, 220 patients received ESWL for kidney stones. Before the procedure, the weight and height were measured to determine the body mass index (BMI); in addition, oxygen saturation and the pulse of the patients, as well as pain level were determined. The pain control provided included two different methods: diclofenac sodium plus hyoscine-N-butyl bromide in the first group and pethidine plus diazepam in the second group. The pain level of the patients was determined using two different scales: the Wong-Baker and the Visual Analogue scales (VAS). At the end of three sessions, all patients were evaluated for the stone fragmentation rate by plain abdominal X-ray, and the findings were recorded and analyzed.

Results: A total of 220 patients were enrolled in this study. There were 91 patients in the first group (diclofenac sodium + hyoscine-N-butyl bromide) (male/female: 63/28) and 129 (male/female: 83/46) patients in the second group (pethidine HCL +diazepam). The mean age with SD according to each group was 42.03 (±16.43) and 42.56 (±14.23), respectively (p = 0.8). With regard to pain scores (using the Wong-Baker and VAS scales), the responses were significantly lower in the second group (p <0.001).

Conclusions: Pethidine in combination with diazepam was superior to diclofenac and Hyoscine-N-butyl bromide for pain in patients undergoing ESWL.

No MeSH data available.


Related in: MedlinePlus

Visual Analog Pain Scale.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4526601&req=5

Figure 0002: Visual Analog Pain Scale.

Mentions: The pain level of the patients at the end of the ESWL procedure was determined using two different scales (in order to increase the accuracy of pain level): the Wong-Baker and the Visual Analogue scales (VAS). The pain assessment scores were recorded. The Wong-Baker scale is used for pain assessment with six different face forms that are scored on a scale from 0 (no pain) to 5 (worst possible pain) (Figure 1). The VAS is used for pain assessment with a visual image of a straight line 10 cm in length that is scored from 0 (no pain) to 10 (worst possible pain). The patient was asked to mark the pain level at a point on the straight line (Figure 2). Patient comfort was determined by asking the following question: ‘Would the patient repeat the procedure without any changes?’. The meaning of ‘tolerability’ in our study was finishing the procedure with the administered drugs. The observer answered the question ‘Did the patient finish the procedure?’. If the patient tolerated the pain until the end of the procedure, then the possible answer was ‘Yes’, and if not, ‘No, not tolerated’. At the end of three sessions, all patients were evaluated for the stone fragmentation rate, by plain abdominal X-ray, and the findings were recorded and analyzed. From the beginning of the procedure, all patients were followed-up by a nurse for pulse and blood pressure monitoring and presence of side effects such as: nausea, vomiting, dizziness, and respiratory depression.


Pain control using pethidine in combination with diazepam compared to diclofenac in combination with hyoscine-n-butyl bromide: in patients undergoing extracorporeal shock wave lithotripsy.

Demir A, Cecen K, Karadag MA, Uslu M, Arslan OE - Cent European J Urol (2015)

Visual Analog Pain Scale.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526601&req=5

Figure 0002: Visual Analog Pain Scale.
Mentions: The pain level of the patients at the end of the ESWL procedure was determined using two different scales (in order to increase the accuracy of pain level): the Wong-Baker and the Visual Analogue scales (VAS). The pain assessment scores were recorded. The Wong-Baker scale is used for pain assessment with six different face forms that are scored on a scale from 0 (no pain) to 5 (worst possible pain) (Figure 1). The VAS is used for pain assessment with a visual image of a straight line 10 cm in length that is scored from 0 (no pain) to 10 (worst possible pain). The patient was asked to mark the pain level at a point on the straight line (Figure 2). Patient comfort was determined by asking the following question: ‘Would the patient repeat the procedure without any changes?’. The meaning of ‘tolerability’ in our study was finishing the procedure with the administered drugs. The observer answered the question ‘Did the patient finish the procedure?’. If the patient tolerated the pain until the end of the procedure, then the possible answer was ‘Yes’, and if not, ‘No, not tolerated’. At the end of three sessions, all patients were evaluated for the stone fragmentation rate, by plain abdominal X-ray, and the findings were recorded and analyzed. From the beginning of the procedure, all patients were followed-up by a nurse for pulse and blood pressure monitoring and presence of side effects such as: nausea, vomiting, dizziness, and respiratory depression.

Bottom Line: The mean age with SD according to each group was 42.03 (±16.43) and 42.56 (±14.23), respectively (p = 0.8).With regard to pain scores (using the Wong-Baker and VAS scales), the responses were significantly lower in the second group (p <0.001).Pethidine in combination with diazepam was superior to diclofenac and Hyoscine-N-butyl bromide for pain in patients undergoing ESWL.

View Article: PubMed Central - PubMed

Affiliation: Kafkas University, Medical School, Department of Urology, Kars, Turkey.

ABSTRACT

Introduction: Extracorporeal Shock Wave Lithotripsy (ESWL) remains the preferred least invasive treatment for urinary tract stones. The main purpose of this study was to compare two treatment modalities for pain control during the ESWL procedure.

Material and methods: From 2013 to 2014, 220 patients received ESWL for kidney stones. Before the procedure, the weight and height were measured to determine the body mass index (BMI); in addition, oxygen saturation and the pulse of the patients, as well as pain level were determined. The pain control provided included two different methods: diclofenac sodium plus hyoscine-N-butyl bromide in the first group and pethidine plus diazepam in the second group. The pain level of the patients was determined using two different scales: the Wong-Baker and the Visual Analogue scales (VAS). At the end of three sessions, all patients were evaluated for the stone fragmentation rate by plain abdominal X-ray, and the findings were recorded and analyzed.

Results: A total of 220 patients were enrolled in this study. There were 91 patients in the first group (diclofenac sodium + hyoscine-N-butyl bromide) (male/female: 63/28) and 129 (male/female: 83/46) patients in the second group (pethidine HCL +diazepam). The mean age with SD according to each group was 42.03 (±16.43) and 42.56 (±14.23), respectively (p = 0.8). With regard to pain scores (using the Wong-Baker and VAS scales), the responses were significantly lower in the second group (p <0.001).

Conclusions: Pethidine in combination with diazepam was superior to diclofenac and Hyoscine-N-butyl bromide for pain in patients undergoing ESWL.

No MeSH data available.


Related in: MedlinePlus