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British Journal of Anaesthesia, 1992, Vol. 69, No. 4 399-400
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

TOPICAL ANAESTHESIA FOR EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY

P. F. MCDONALD, F.R.C.ANAES.*, and A. M. BERRY, P.R.C.ANAES.

Department of Anaesthetics, Royal Perth Hospital Wellington Street, Perth, Western Australia WA 6000, Australia.

Present address, for correspondence: Department of Anaesthetics, St James's University Hospital, Beckett Street, Leeds L59 7TF.

We have investigated 60 patients in a prospective double-blind, placebo-controlled study to assess the efficacy of EMLA (Eutectic Mixture of Local Anaesthetics) cream to provide analgesia during extracorporeal shock wave lithotripsy (ESWL) with a second generation lithotriptor. Before operation, EM LA or placebo cream was applied to the patient's back at the anticipated shock head-skin interface. During the procedure increments of fentanyl 0.5 fig kg– were given i. v. on patient demand. There was no significant difference (P = 0.83) in the dose of fentanyl given to each group. We cannot recommend, therefore, the use of EMLA cream as an analgesic during ESWL with a second generation lithotriptor.

*Present address, for correspondence: Department of Anaesthetics, St James's University Hospital, Beckett Street, Leeds L59 7TF.


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