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ESWL

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Rate modulation function on any permanent pacemaker should be deactivated prior to the procedure. If the pacemaker has motion sensing configuration this may result in tachycardia

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Antibiotics as per surgeons, immediately prior to procedure.

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Require a good fitting LMA to prevent paradoxical abdominal wall movement which can interrupt targeting and prolong treatment #efficiency

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General anaesthesia will help keep patient still

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If coordinating shocks with ECG, bradycardia can prolong the procedure.
Consider treating with anticholinergics.
#efficiency

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Shockwaves can cause arrythmias. If they become haemodynamically significant, coordinate the timing with the QRS complex

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