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Title: | Impact of modern media on analgesic requirements during extracorporeal shockwave lithotripsy. | Authors: | El-Khoury H.J.;Brookes J.D.L.;Tan B.;Shahbaz S.;McCahy P.J. | Institution: | (El-Khoury, Brookes, Tan, Shahbaz, McCahy) Department of Urology, Casey Hospital, Monash Health, Melbourne, VIC, Australia (McCahy) School of Clinical Sciences, Monash University, Melbourne, VIC, Australia | Issue Date: | 3-Oct-2019 | Copyright year: | 2020 | Publisher: | NLM (Medline) | Place of publication: | Australia | Publication information: | ANZ journal of surgery. 90 (1-2) (pp 53-56), 2020. Date of Publication: 01 Jan 2020. | Abstract: | BACKGROUND: In Australia, shockwave lithotripsy (SWL) to treat urinary tract stones is routinely performed with general anaesthesia (GA). We have established a SWL service avoiding GA based outside operating theatres and wish to assess the effectiveness of utilizing modern media on patient satisfaction and analgesic requirements during treatment. METHOD(S): A randomized three-arm trial was performed. Patients were allocated to either watching videos or listening to music on a tablet device, or to getting no media distraction. A total of 95 patients were recruited in a 1:1:1 fashion. Analgesic requirements were recorded during the procedure and patients were asked to fill out a questionnaire with a visual analogue scale to assess their overall pain and satisfaction with the procedure. RESULT(S): Overall pain scores were decreased - the sound media group reported a mean pain score of 3.52 (P = 0.005), the visual group was 3.62 (P = 0.007), compared to 5.45 in the control group. Analgesic requirements were significantly decreased when compared to the control group (P = 0.05). Overall satisfaction with the procedure was improved in the treatment groups, with the sound group having the best result (P = 0.04). CONCLUSION(S): Modern media can be used as a distraction during SWL in a safe and effective way when treating renal tract stones without GA. Analgesic requirements are decreased significantly, therefore decreasing any potential side-effects and complications. Other departments in Australia should consider using this technique.Copyright © 2019 Royal Australasian College of Surgeons. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/ans.15446 | PubMed URL: | 31566281 [http://www.ncbi.nlm.nih.gov/pubmed/?term=31566281] | ISSN: | 1445-2197 (electronic) | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/28704 | Type: | Article | Subjects: | randomized controlled trial very elderly *videorecording analgesic agent/ad [Drug Administration] videorecording *urolithiasis tablet sound side effect patient satisfaction pain operating room music major clinical study kidney general anesthesia *extracorporeal shock wave lithotripsy complication comparative effectiveness article *analgesic agent visual analog scale adult aged analgesia Australia controlled study female human lithotripsy male middle aged *music nephrolithiasis/th [Therapy] pain measurement *procedures questionnaire nephrolithiasis / therapy *music middle aged male lithotripsy human female controlled study Australia analgesia aged adult adult [m] article [m] Australia [m] comparative effectiveness [m] complication [m] controlled study [m] *extracorporeal shock wave lithotripsy [m] female [m] general anesthesia [m] human [m] kidney [m] major clinical study [m] male [m] music [m] operating room [m] pain [m] patient satisfaction [m] questionnaire [m] randomized controlled trial [m] side effect [m] sound [m] tablet [m] videorecording [m] visual analog scale [m] *urolithiasis [m] *videorecording very elderly randomized controlled trial questionnaire *procedures pain measurement |
Type of Clinical Study or Trial: | Randomised controlled trial |
Appears in Collections: | Articles |
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