Lithotripsy
From WikiAnesthesia
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 | |
| User likes | 0 |
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
Top contributors: Olivia Sutton, Jeffrey Chen and Tony Wang