We reviewed the anesthetic requirements for satisfactory use of a third-generation electromagnetic-source design for extracorporeal shockwave lithotripsy (SWL). Medical records were reviewed for a period of 9 months on all @entity1 receiving anesthesia care for SWL with and without other urologic procedures. The Modulith SL20 was used on 56 ASA Class I-III @entity1 having 87 SWL treatments. Demographic and anesthetic variables were recorded. Complications documented included @entity943 , @entity390 necessitating treatment, and conversion from sedation to regional or general anesthesia. The majority of procedures (83%) were performed on an outpatient basis. @entity1 were classified as ASA physical status I (27%), II (63%), or III (10%). Monitored anesthesia care with intravenous sedation was utilized in 93% of cases. Of these cases, 78 involved a combination of intravenous @entity1875 , @entity3575 , and @entity1363 ; the remaining 3 involved @entity1875 , @entity680 , and/or @entity1363 . The mean treatment duration was 36 minutes. @entity1 were discharged within 1 hour after procedure completion in 77 cases (89%). Nausea necessitating treatment was rare (3%). The mean dose of @entity1875 administered with SWL as the only procedure was 272 +/- 112 mg. When SWL was combined with other urologic procedures, the mean dose of @entity1875 was 334 +/- 121 mg. Continuous intravenous @entity1875 infusion provides excellent procedural conditions for SWL on the Modulith SL120, a third-generation lithotripter.

Anesthetic management of XXXX receiving calculus therapy with a third-generation extracorporeal lithotripsy machine.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity680 :: ('MESH:D015760', 'Chemical') :: ['alfentanil'] @entity1875 :: ('MESH:D015742', 'Chemical') :: ['propofol'] @entity1363 :: ('MESH:D008874', 'Chemical') :: ['midazolam'] @entity943 :: ('MESH:D001145', 'Disease') :: ['dysrhythmias'] @entity3575 :: ('MESH:D005283', 'Chemical') :: ['fentanyl']
@entity1 :: (9606,Species) :: ['patients']
