• Jonathan Mathers, Bernardita Troncoso Solar, Louise Harding, Naima Smeulders, and Helen Hume-Smith.
• Department of Anaesthesia, Great Ormond Street Hospital, London, United Kingdom. Electronic address: jonathanmathers@me.com.
• Urology. 2015 Nov 1; 86 (5): 1008-12.

ObjectiveTo assess the frequency and severity of cardiac dysrhythmias and identify any intraoperative or postoperative complications in children undergoing extracorporeal shock wave lithotripsy (ESWL).MethodsAll children coming to our institution for ESWL from June 2014 to January 2015 were prospectively enrolled in an observational cohort study. Intraoperative cardiac dysrhythmias and perioperative and postoperative complications were recorded.ResultsIn total, 21 children aged 1-18 years were enrolled receiving a total of 26 treatments. Intravenous sedation was used in 19 cases and general anesthesia with an inhalational agent in 7 cases. Cardiac dysrhythmias occurred in 58% of children. No hemodynamic instability was noted. No therapies were terminated because of dysrhythmias, and there were no postoperative cardiac dysrhythmias.ConclusionESWL remains a safe therapy for children with urinary stone disease. Although we experienced more dysrhythmias than currently published literature, there were no long-term adverse outcomes and children were able to go home the same day.Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

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