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May experience painful bladder spasm postoperatively

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Duration 1-3hrs depending on size of calculus

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Consider an endotracheal tube in patients in which ventilation with a LMA is likely to be difficult. The procedure will be prolonged and poorly fitting LMA will cause excessive movement that makes lithotripsy difficult.

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Moderate to severe pain if bladder spasm occurs

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Monitor temperature. Large volumes of Irrigation fluid and prolonged procedures may result in hypothermia.

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2
Considerations as for laser

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Surgeon may request paralysis to minimise movement from spontaneous ventilation to keep calculus in view during lithotripsy

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