Lithotripsy

Lithotripsy

Anesthesia type	MAC (Versed + fentanyl or propofol infusion), spinal is optional but rare. GA as well to minimize patient movement (Urologist preference)
Airway	LMA if GA (case 30-60min)
Lines and access	22G
Monitors	Standard
Primary anesthetic considerations
Preoperative	Contraindicated for ureter stones, pregnancy, bleeding disorders, elevated coags, UTI PPM/AICD - may need to use magnet/reprogram
Intraoperative
Postoperative	residual stone fragments may cause infection or sepsis
Article quality
Editor rating	In development
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Otherwise known as extracorporeal shock wave lithotripsy, lithotripsy is the most commonly preferred tool for the noninvasive treatment of renal stones, proximal stones, and midureteral stones.

Preoperative management

Patient evaluation

System	Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications