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Original Article
Epidural Fentanyl for Extracorporeal Shock Wave Lithotripsy (ESWL)
  1. David Gissen, MD*,
  2. Maud Naroll, PhD† and
  3. Ronald L. Katz, MD‡
  1. From the Department of Anesthesiology, UCLA School of Medicine, Los Angeles, California
  2. *Assistant Professor, Department of Anesthesiology, UCLA School of Medicine, Los Angeles, CA.
  3. †Statistician, ICCS, Amherst, New York.
  4. ‡Chairman and Professor, Department of Anesthesiology, UCLA School of Medicine, Los Angeles, CA.

Abstract

Epidural fentanyl produced sufficient analgesia for ESWL in 14 of 15 sequential patients. Fentanyl produced a unique block, with no motor block, no changes in pinprick or light touch, and only subtle segmental changes in cold sensation. With the position changes needed for ESWL, little change in blood pressure and heart rate was observed. This occurred in patients who received relatively small amounts of intravenous volume. Epidural fentanyl is sufficient for ESWL and provides excellent hemodynamic stability.

  • Epidural
  • narcotics
  • Anesthesia for Extracorporeal Shock Wave Lithotripsy
  • Narcotics: fentanyl

https://doi.org/10.1136/rapm-00115550-198813010-00008

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