Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases

Erkan Özduran

doi:10.18614/dehm.1873522

Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases

Abstract

BACKGROUND The aim of the study is to evaluate the safety, feasibility, and effectiveness of sedoanalgesia in pediatric patients undergoing extracorporeal shock wave lithotripsy (ESWL). METHODS This retrospective study included pediatric patients who underwent ESWL under a standardized sedoanalgesia protocol consisting of intravenous midazolam (0.0] mg/kg), fentanyl (1 mcg/kg), propofol (0.5–1 mg/kg), and ketamine (0.5–1 mg/kg) as needed. Any complications or adverse events related to sedoanalgesia were documented. RESULTS A total of 190 pediatric patients underwent 453 ESWL sessions. All procedures were completed successfully without conversion to general anesthesia. Spontaneous ventilation was preserved in all patients, and airway instrumentation was not required. Minor complications included transient desaturation (3.3]%) and nausea/vomiting (19.2%). No major anesthesia-related adverse events were observed. The mean stone size was 9 ± 2.86 mm for the kidney and 8 ± 2[14 mm for the ureter. The average number of sessions per patient was 2.4. CONCLUSION The fundamental principle of pediatric anesthesia is to use the lowest effective and shortest-acting anesthetic agents through careful titration. Our findings demonstrate that ESWL can be safely and effectively performed in children using a balanced sedoanalgesia protocol.

Keywords

References

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Details

Primary Language

English

Subjects

Anaesthesiology

Journal Section

Research Article

Authors

Erkan Özduran
0000-0003-3425-313X
Türkiye

Publication Date

January 28, 2026

Submission Date

July 9, 2024

Acceptance Date

September 18, 2025

Published in Issue

Year 2026 Volume: 40 Number: 1

DOI

https://doi.org/10.18614/dehm.1873522

IZ

https://izlik.org/JA97TA62DP

Cite

RIS / Bibtex

APA

Özduran, E. (2026). Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases. Developments and Experiments in Health and Medicine, 40(1), 27-33. https://doi.org/10.18614/dehm.1873522

AMA

1.Özduran E. Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases. Dev Exp Health Med. 2026;40(1):27-33. doi:10.18614/dehm.1873522

Chicago

Özduran, Erkan. 2026. “Sedoanalgesia-Based Anesthesia Approach in Pediatric Extracorporeal Shock Wave Lithotripsy Cases”. Developments and Experiments in Health and Medicine 40 (1): 27-33. https://doi.org/10.18614/dehm.1873522.

EndNote

Özduran E (January 1, 2026) Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases. Developments and Experiments in Health and Medicine 40 1 27–33.

IEEE

[1]E. Özduran, “Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases”, Dev Exp Health Med, vol. 40, no. 1, pp. 27–33, Jan. 2026, doi: 10.18614/dehm.1873522.

ISNAD

Özduran, Erkan. “Sedoanalgesia-Based Anesthesia Approach in Pediatric Extracorporeal Shock Wave Lithotripsy Cases”. Developments and Experiments in Health and Medicine 40/1 (January 1, 2026): 27-33. https://doi.org/10.18614/dehm.1873522.

JAMA

1.Özduran E. Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases. Dev Exp Health Med. 2026;40:27–33.

MLA

Özduran, Erkan. “Sedoanalgesia-Based Anesthesia Approach in Pediatric Extracorporeal Shock Wave Lithotripsy Cases”. Developments and Experiments in Health and Medicine, vol. 40, no. 1, Jan. 2026, pp. 27-33, doi:10.18614/dehm.1873522.

Vancouver

1.Erkan Özduran. Sedoanalgesia-based anesthesia approach in pediatric extracorporeal shock wave lithotripsy cases. Dev Exp Health Med. 2026 Jan. 1;40(1):27-33. doi:10.18614/dehm.1873522