Is pain perception different in pediatric and adult patients undergoing stone crushing procedure after the application of multimodal analgesia?

Engin Özbay 1 * , Erim Erdem 2
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1 Department of Urology, İstanbul Kanuni Sultan Süleyman Research and Training Hospital, İstanbul, Turkey
2 Department of Urology, Mersin Univercity Medicine School, Mersin, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 5, pp. 59-62. https://doi.org/10.23950/jcmk/11231
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ABSTRACT

Aim: Extracorporeal shock wave lithotripsy (ESWL) is an important modality in the treatment of urinary system stone disease in children and adults. However, ESWL may be painful and stressful procedure. We aimed to examine the differences between pain perception felt during ESWL in children and adult patients after the application of multimodal analgesia.
Method: Patients who underwent the stone crushing procedure under multimodal analgesia at the ESWL unit of Mersin University Hospital Urology Clinic between May 2010 and December 2010, were divided into two groups as pediatric and adult. Using the VAS form, the adult patients’ and pediatric patients' pain perception felt during ESWL, were scored and compared.
Results: The difference between the mean scores of  pain perception felt during ESWL  were not  significant for all three sessions in both groups. But the difference between the mean scores of pain perception felt during all ESWL sessions between the pediatric and adult groups were significant for all three sessions. The success rate for SWL was calculated as 83.3% for the pediatric group and 80% for the adult group.
Conclusion: ESWL is a painful procedure. Our ESWL success rate is compatible with the literature. The pediatric and adult patients successfully completed the ESWL procedure with multimodal analgesia. The pain perception felt during ESWL  score was higher in pediatric cases.
Keywords: Pediatric patient, Adult patient, ESWL, Pain, VAS

CITATION

Özbay E, Erdem E. Is pain perception different in pediatric and adult patients undergoing stone crushing procedure after the application of multimodal analgesia?. J CLIN MED KAZ. 2021;18(5):59-62. https://doi.org/10.23950/jcmk/11231

REFERENCES

  • Trinchieri A. et al. Epidemiology, in Stone Disease, K.S. C.P. Segura JW, Pak CY, Preminger GM, Tolley D., Editors. 2003, Health Publications: Paris. http://www.icud.info/PDFs/Stone-Disease.pdf
  • Incidence and prevalence of published studies about urolithiasis in Spain. A review]. Actas Urol Esp. 2007; 31(5):511-20. Spanish. https://doi.org/10.1016/s0210-4806(07)73675-6
  • Bal A, Şahudak Bal Z, Alparslan C, et al. Çocukluk çağı üriner sistem taş hastalığında etiyolojik faktörler ve tedavi. Türkiye Klinikleri J Med Sci. 2013; 33(4):1127. http://dx.doi.org/10.5336/medsci.2012-32741
  • Çocuklarda üriner sistem taş hastalığı Çocuk Cerrahisi Dergisi. 2013; 27(1):8-32. http://doi:10.5222/JTAPS.2013.008
  • Menon M, Resnick MI. Urinarylithiasis: etiology, diagnosis and medical management. In: Walsh, Retik AB, Vaughan AB (eds). Campbell’s Urology 8’th edition. Philadelphia: WB Saunders Company 2002; 3289-92. https://www.worldcat.org/title/campbell-walsh-urology/oclc/541668190
  • Choong S, Whitfield H, Duffy P, et al. The management of pediatric urolithiasis. Journal of Urology. 2002; 168: 1522-25. https://doi.org/10.1046/j.1464-410x.2000.00909.x
  • Gupta NP, Kumar A. Analgesia for pain control during extracorporeal shockwave lithotripsy. İndian J Urol. 2008; 24:155-158. https://doi.org/10.4103/0970-1591.40607
  • Downie WW, Leatham PA. Studies with pain ratings cales. Annals Rheumatic Diseases. 1978; 37:378-381. https://doi.org/10.1136/ard.37.4.378
  • Friedrichsdorf SJ, Goubert L. Pediatric pain treatment and prevention for hospitalized children. Pain Rep. 2019;5(1):e804.https://doi.org/10.1097/pr9.0000000000000804
  • Friedrichsdorf SJ, Sidman J, Krane EJ. Prevention and treatment of painin children: toward a paradigm shift. Otolaryngol Head Neck Surg. 2016;154:804–5.1 https://doi.org/10.1177/0194599816636100
  • Goubert L, Friedrichsdorf SJ. https://www.childresmn.org/painpallativeintegrativemed 2019.
  • Sultan S. Urolithiasis. In: Lima M, Manzoni G, editors. Pediatric Urology: Contemporary StrategiesFromFetal Life to Adolescence. Milan: Springer (2015).365–78. https://moh-it.pure.elsevier.com/en/publications/pediatric-urology-contemporary-strategies-from-fetal-life-to-adol
  • Sohail N, Albodour A, Abdelrahman KM.Is There Any Improvement In Efficacy Of Extracorporeal Shockwave Lithotripsy Therapy For Treating Renal Stones With Invent Of New Shockwave Machines? J Ayub Med Coll Abbottabad. 2019;31(3):351-354. PMID: 31535504
  • Pareek G, Armenakas NA, Panagopoulos G, Bruno JJ, Fracchina JA. Extracorporeal shockwave lithotripsy success based on body mass index and Hounsfield units. Urology. 2005; 65: 33–36. https://doi.org/10.1016/j.urology.2004.08.004
  • Ozkan F, Erdemir F, Erkorkmaz U, et al. Comparision of three different analgesic protocols during shockwave lithotripsy. J Endourol. 2012; 26:691-696. https://doi.org/10.1089/end.2011.0004
  • Bach C, Zaman F, Kachrilas S, Kumar P, Buchholz N, Masood J. Drugs for pain management in shock wave lithot- ripsy. Pain Res Treat. 2011;2011:259426). https://doi.org/10.1155/2011/259426
  • Berwin JT, El-Husseiny T, Papatsoris AG, Hajdinjak T, Masood J, Buchholz N. Pain in extracorporeal shock wave lithotripsy. Urol Res. 2009; 37:51-3. https://doi.org/10.1007/s00240-009-0171-y
  • Anand KJ, Barton BA, McIntosh N, et al. Analgesia and sedation in preterm neonates who require ventilatory support: results from the NOPAİN trial. Neonatal outcome and prolonged analgesia. Neonates Architure Pediatr Adolescent Medicine. 1999; 153(4):331-338. https://doi.org/10.1001/archpedi.153.4.331
  • Brattberg G. Do pain problems in young school children persistin to early adulthood. A 13 yearfollowup. European Journal of Pain. 2004; 8(3):187-199. https://doi.org/10.1016/j.ejpain.2003.08.001
  • Cevik B, Tuncer M, Sarıca K. Procedural sedation and analgesia for pediatric shockwave lithotripsy: a 10 year experience of single instution. Urolithiasis. 2018; 46(4):363-367. https://doi.org/10.1007/s00240-017-0992-z
  • Özçakır E, Özçakır L, Kaçar M, ve ark. Çocuklarda üriner sistem taş hastalığı tedavisinde ESWL deneyimlerimiz. Çocuk Cerrahisi Dergisi. 2010; 24(1):12-7. https://www.journalagent.com/cocukcerrahisi/pdfs/CCD_24_1_12_17.pdf
  • Günerer D,Gürek G. Okul yaş grubu çocukların hastane ve hastalığı ile ilgili bilgilendirme durumlarının endişe kaynakları ile etkileşimi. Gaziantep Tıp Dergisi. 2008; 15(1):41-48. https://dergipark.org.tr/tr/pub/deuhfed/issue/53195/705950
  • Bovelander E, Weltings S, Rad M, et al. The influence of pain on the outcome of extracorperal shockwave lithotripsy. Curr Urol. 2018;12:81-7. https://doi.org/10.1159/000489424
  • TokgözH, Hanci V, Turksoy O, et al. Pain perception during shockwave lithotripsy: does it corrolate with patient and Stone characteristics? J ChinMedAssoc. 2010; 73:477-482. https://doi.org/10.1016/s1726-4901(10)70102-7
  • Yılmaz E, Batıislam E, Tuğlu D, ve ark. Ekstrakorporeal shockwave litotripsi sırasında hastalarda anksiyete-ağrı yoğunluğu ilişkisi. Türk Üroloji Dergisi. 2003; 29(1):80-83. https://app.trdizin.gov.tr/publication/paper/detail/TWpJM016SXk=
  • SalinasA, Lorenzo-Romero T, Segura M, et al. Factors determining analgesic and sedative drug requirements during extracorporeal shockwave lithotripsy. Urology İnternational. 1999; 63:92-101. https://doi.org/10.1159/000030425
  • Mezentsev VA. Meta analysis of the efficacy of non-steroidal anti-ınflamatory drugs vs. opoids for SWL using modem electromagnetic litotripters. İnt braz j urol. 2009; 35:293-298. https://doi.org/10.1590/s1677-55382009000300005
  • Holdgate A, Pollock T. Systematic review of the relative efficay of non-steroidal anti-ınflamatory drugs and opiods in the treatment of acute renal colic. BMJ. 2004; 328:1401. https://doi.org/10.1136/bmj.38119.581991.55
  • Conk Z., Başbakkal Z., Yardımcı F. (2013). Çocuk Sağlığına Genel Bakış. İçinden; Conk Z., Başbakkal Z., Bal Yılmaz, H., Bolışık B (Eds). Pediatri Hemşireliği, Ankara, Akademisyen Tıp Kitabevi, s 1-52. http://auzefkitap.istanbul.edu.tr/kitap/hemsirelik_ao/hemsirelikbakimi4.pdf
  • Çavuşoğlu H. (2013). Çocuk Sağlığı Hemşireliği. Cilt 1. Genişletilmiş 11. Baskı Ankara, Sistem Ofset Basımevi, s 1-31, 51-70. https://dergipark.org.tr/tr/pub/hunhemsire/issue/37313/454384
  • Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement Of clinical phenomena. Research in Nursing&Health. 1990; 13:227-236. https://doi.org/10.1002/nur.4770130405
  • De Sio M, Autorino R, Quarto G, Mordente S, Giugliano F, Di Giacomo F, Neri F, et al. A new transportable shock-wave lithotripsy machine for managing urinary stones: a single-centre experience with a dual-focus lithotripter. BJU Int. 2007;100. https://doi.org/10.1111/j.1464-410x.2007.07039.x
  • Hasanpoura, M.,Tootoonchia, M., Aeinc, F. and Yadegarfara, G. The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children. International Journal of Acute Pain Management. 2006; 8:7-12. DOI: 10.1016/j.acpain.2005.11.001