EVALUATION OF PATIENT-CONTROLLED SEDATION AND ANALGESIA FOR ESWL

This study was designed to evaluate the quality of sedation/analgesia and patient cooperation provided by Patient Controlled Sedation & Anal gesia (PCSA) using propofol and fentanyl (Group II) when compared with anesthetist administered propofol/fentanyl (Group I) in 32 ASA I & II patients undergoing ESWL of renal or ureteric stones. Demographics of the patients and the duration of ESWL were similar in both groups. Do se of propofol/fentanyl used during the procedure was significantly hi gher in Group I patients as compared to group II (p < 0.05). Inter-pat ient variability in propofol requirement was reflected in both groups in the lack of significant correlation between propofol dose and proce dure duration. PCSA provided a marginally higher degree of patient and surgeon satisfaction scores as compared to anesthetist administered p ropofol/fentanyl. Quick recovery was more consistent in the PCSA group as compared to group I patients.