European Stars And Stripes (Newspaper) - March 1, 1988, Darmstadt, Hesse Smashing gallstones with Shock Waves by Lawrence new York times de vice designed by was ii Iran a space engineers to Pulvl-m/i1 v Atli Ity , with Driver is now Heing to Tpbie As a promising Iii in in Lor n Ai More common contrition Sii Ilg about 300 hospital1 Thi air Hout the work have to Rel of device,1, a Litho Fupler to smash kidney Slones in no Neil 500,000 patients l Riholm riders have gained a prominent place in merited care in a so they above stones without Iho map surgery that had teen needed recent months. European and Canadian doctors have used newer versions of the device to crush gallstones in it a 600 people wih no map Adverse cell acts except muscle soreness however experts say that some serious could show up when the Proco Turc. Involving hundreds of Shock wives is used on larger numb is of Propec still the Promisel smashing 15 according to or h Joachim Burhen Neol the University of Tillish Columbia by Spring Doc irs in 10 american Cental herein to Send Shock w Ives through goo patients in an u be Mienl approved by Iho food and drug administration the aim is to of Fornino the stitely and Tischl triness of Iho Inci Tipy Lor gallstones and to determine which among Thezy million americans with a is ions Ifould Benefit from huh Shipler therapy instead of surgery or dissolution Aith my Venus stones can inflame the gallbladder a Sac tucked under the liver in the upper Light Ali Domun the Gall Lacr stores bile in if 10 live until l parses into the incs line Loaid digestion. An in lamed gallbladder potent tally latal Allach s typically characterised by Nausch i. Vor Nilong. Abdominal Puin and lever other Hie threatening problems result rom stones that escape Mlo duels Loam the Flowel bile Rusu Ling in the yellowing of Pun Dice. Pulic Nealion by Iho Thot Apter the word derived Horn the greek words meaning to crush stones res urls from ignition of spark plug Type electrodes to Pio Duee Shock Waves Hal vaporize a Small amount of water the Shock Waves pass through the soft tissues of the body until they hit the solid Stone breaking it up. Kidney and gallstones vary widely and oven the smallest can cause major problems the sizes Range Iro Rrt a traction of an Inch to three or More inches and no correction exists Between size and symptoms with an ultrasound machine like those commonly used in studying the fetus doctors Lind the gallstones and position the patient so Hal the Shock Waves Are focused on the Slones sparing surrounding tissue older machines used on kidney Slones typically use a rays of find stones up to 1.500 Shock Are Given in the Procodio. Which can last about an hour. An Electrocardiogram is used to Regulado the Liming. Avoiding shocks Al a porn in Iho Henru rat when it could rigger an irregular rhythm doctors and parents usually Wear ear plugs because the shocks sound Siko Nellc shots ii successful. Iho Stone is broken into fragments Small enough o pass through the body the first Lilholt rippers. Some of them still in Uso against kidney stones require immersing a patient in a water tank and injecting an aesthetic into the lower spine. The newer and smaller Lithol rippers including the Model used against treating gallstones without surgery . First used to treat kidney stones Usa spark plug Type electrodes to generals hundreds of Shock Waves. In new models Waves Are transmitted through a water Cushion and pass through soft tissues until they hit a gallstone. To Monitor shows position of gallstone. Power source generates shockwave. Adjustable Arm holds ultrasound scanner. Controlling tremors after surgery by Mary Mcgrath associated press Ost operative ire Moling endured by half the 25 million people who undergo sur my each year results torn he use of aesthetics not irom decreased body temperature As had been assumed according to a new study. The Lindig could Lead to improved treatments to prevent the unpleasant and uncontrollable tremors Hal in some cases resemble a seizure and can be dangerous to patients researchers said recently. To now know that a very dramatic Sido a Fleck of surgery has Boon misinterpreted for More than 35 years said Daniel i Sessler assistant professor of anaesthesia at the University of California san Francisco and head of the study. Sussler along Wilh researchers at Ucland the University of Minnesota compared electrical signals produced in the Muscles during Normal Shivo Hng to those in nine women recovering rom aesthetic alter surgery. They Lound the Post surgical tremors were not related to body temperature but matched Uemori produced in people with severed spinal cards. Ancs thelic they found wears Oil in the spine while the brain remains asleep essentially disconnecting the spine rom Iho brain s chemical messages. If the patient s skin gets cold triggering shaking the brain cannot signal the muscle reflex to Slop Sessler said. Alter about 15 minutes when the brain wakes up the tremor slops he said. People have been trying to do something for years Aboul Post surgical tremors but generally without Success because they have been treating it As a inc rom regulatory said Vossler who reported the finding at last yeat s meeting of the International anaesthesia research society the study will be published in the journal Anaesthesiology this year. Or. Richard Stein vice president of the american society of Anaesthesiologist a said the finding will not drastically Aller current practice at hospitals which already use lamps or blankets once tremors begin but according to Sasser warming the skin with infrared heating lamps or even something As simple a hair dryer while the patient is still asleep should prevent the in Coors altogether. Infrared heating lamps Are used empirically in some hospitals and have already been shown to work. Tiwe Lau. Myrrh 1. 1988 gallstones free he urn d Vam tank by substituting a water Cushion placed against the Abdomen the new models also reduce the need for anaesthesia because the Power has been reduced inic Lions of n pain killer have Boon sufficient lot most patients the Lisl was developed in Wesl Germany try Dormer medical systems o Munch alter researchers discovered Hal Shock Waves Cie Atod by raindrops striking an air Rall in supersonic flight can disintegrate solid materials dornier s newest Model is the Only one the f . Has approved Lor chg gallstone study although intended for kidney Slones have been used in emergencies on a few a aliens with blockage of the bile ducts. The prevalence of Galistinos increases with age to Aboul 10 percent of the population although Many do not Sufler symptoms. For unknown reasons gallstones Aie More common among women hispanics and american indians about Hall a million gallbladder operations usually removals Are done each year in the United slates the death Rale is less than i percent in people 60 of younger hut rises to Aboul 10 Percone in frail older people. Experts like or Joseph t. Ferrucci or. Of the Massachusetts general Hospital in Boston one of Iho con Lars Paitich Palm in the gallstone study speculate hint eventually up to 20 percent of people with gallstones May Henelt torn therapy Early results in Europe suggest Hal breaking up the larger stones into smaller fragments makes solvent therapy More Este two and quicker than when the solvents arc used alone dissolving galls once Wilh chemicals Ollon takes two years and now Slones form quickly in Many people who Slop taking the solvents. Researchers have severely restricted who May be in the study. Only those with Thiec or Lewer Slones. Each less than three centimetres in diameter Are eligible. Fenuccio said there was a limit to the number of shocks the body can Wilh land Al one Lime and that the number needed to smash forger and More numerous Lonos could damage tissue said Sessler. But most Don l Ireal this except with blankets. Routinely keeping the patient warm would prevent this even a Model increase in the warming the shaking which can occur with almost All general Anest Herics in use Loday. Can raise the patient s heart rate and blood pressure in addition to pulling apart incisions and damaging Teeth Sessler said. Stem differed with session s estimate Hal half of All surgical patients experience some tremors. Irom mild to severe. He said such cases Are rare and Are usually not serious. The condition is Moal common among patients treated in cold operating rooms such As those receiving nip Orkney replacement to said. Orthopaedic surgeons keep the temperature at around 62 degrees because of the heavy gowns they Musl Wear and lha air conditioning system Bolh designed to prevent infection he said. In a separate study Sessler s research team disproved another Assumption thai surgery patients lose All ability to control body Lempera Urc. Aesthetics do not eliminate control bul instead lower the threshold or cold. The regulatory reaction occurs but at a much lower body temperature than Normal they Lound. The stars and stripes Page 17
