| Abstrakt: |
Introduction: Background: Urinary lithiasis is the third most common disease of urinary system. Nowadays, Extra Corporeal Shockwave Lithotripsy (ESWL) is the treatment of choice for urinary lithiasis. Majority of patients experience pain during ESWL. Recently, The topical analgesic methods is more common than invasive procedures such as general anesthesia is more. Regarding the trivial complications of EMLA cream, we decided to evaluate its therapeutic effect on diminishing the pain during ESWL. Methods: Patients were randomly divided into two groups. In the intervention group, EMLA cream and for the control group, ultrasound gel was used. EMLA cream was applied 45 minutes before ESWL to the patient's flank. Supplemental doses of Fentanyl to control pain during lithotripsy were administered to patients. A rater, blind to the allocated groups, recorded pain scores based on the standard VAS scale. Data were analyzed using SPSS software and independent samples T-test. Results: 80 patients were examined. Our findings show that pain scores and medication dose of Fentanyl, received during ESWL, in EMLA group is less than the ultrasound gel group Age, sex, weight, BMI, size and location of stone has no effect on the pain scores. Conclusion: Applying EMLA cream in patients, under ESWL, will reduce the pain scores and supplementary dose of Fentanyl during ESWL. [ABSTRACT FROM AUTHOR] |
