Extracorporeal Shockwave Lithotripsy

Airway: Access: Pain: Position: Time: Blood loss: Special:

High-energy ultrasound used transcutaneously to mechanically destroy upper urinary tract stones.

Contraindications:

• Morbid obesity
• Pregnancy
  Foetal risk.
• Pacemaker
• Coagulopathy
• Lumbar or pelvic hardware
• Intraabdominal calcification
  e.g. AAA.

Considerations

Get SET:

• Usually out of operating suite

• Electrical safety

• B

  • Small tidal volumes

• C

  • Arrhythmias
  • PPM

• D

  • GA vs regional
    • GA usually easier

• E

  • Immobility required

Preparation

Induction

Intraoperative

Surgical Stages

Emergence

Postoperative

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References