Pancreatic Stone Disease
Conditions
Keywords
extracorporeal shock wave lithotripsy, remifentanil, flurbiprofen, pancreatic stone
Brief summary
Extracorporeal shock wave lithotripsy (ESWL) of pancreatic stones has been described as an effective approach for stone drainage and pain relief, and general or epidural anesthesia has been reported for such procedure. Single infusion of remifentanil has been described in ESWL of urinary stones, but it has never been described in ESWL of pancreatic stones. Moreover, single infusion of remifentanil might induce several complications, such as postoperative nausea and vomiting. The investigators attended to investigated whether combination of flurbiprofen with remifentanil reduced remifentanil dose and attenuated the complications.
Interventions
Patients in Rem group receive sedation and analgesia with remifentanil, dose of which will be determined by the up-and-down method.
Patients in this group receive sedation and analgesia with flurbiprofen and remifentanil, dose of which was determined by the up-and-down method.
Sponsors
Study design
Eligibility
Inclusion criteria
* aged 18-65 years * ASA I-II * ESWL indication was met
Exclusion criteria
* patients with hypertension * patients compromised in cardiopulmonary function * patients undergoing ESWL for the second or more times
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue score of pain | During ESWL procedure |
Secondary
| Measure | Time frame |
|---|---|
| Cardiovascular responses including blood pressure and heart rate | During ESWL procedure |
Other
| Measure | Time frame | Description |
|---|---|---|
| Side effects | within 24 hours after ESWL procedure | The side effects including postoperative nausea and vomiting, as well as pruritus. |
Countries
China