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

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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.

Overview

Indications

Surgical procedure

Preoperative management

Patient evaluation

System Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

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

References