Course Content
Course Introduction
This chapter introduces the purpose of the course, the learning approach, and the important disclaimer that this training teaches ESWL fundamentals rather than device-specific operation.
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Welcome: How SWL is Performed
00:44
Important Disclaimer: Fundamentals-Based ESWL Training
01:09
SWL System Basics and Shock Wave Principles
This chapter gives learners the essential technical foundation of SWL, including how shock waves are generated, how the focal zone works, and how different imaging systems support stone targeting.
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What SWL Is: Technical Perspective
00:54
Core Components of an SWL System
01:26
Shock Wave Generation: What the Operator Should Know
01:06
Types of Lithotripters Based on Imaging
00:57
Pre-Procedure Preparation
This chapter explains how to prepare the lithotripter, imaging system, and patient before treatment begins, with emphasis on safety, readiness, and treatment planning.
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Pre-Procedure Technical Checks
01:17
Parameters Before Releasing X-ray (need video here)
01:17
Before Starting SWL – Patient check
01:15
Reading the Radiographic Imaging
00:58
Pre-SWL Analgesia
01:08
Pre-SWL Hydration
01:01
Patient Positioning and Focal Zone Awareness
This chapter explains the importance of stable patient positioning, a clear shock wave path, and accurate stone placement within the three-dimensional focal zone.
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Patient Positioning: Technical Considerations
01:01
Understanding the Focal Zone
01:08
Stone Targeting: Technical Principles
01:04
Respiration and X-ray Guided Stone Alignment
This chapter teaches the practical workflow of X-ray-guided stone alignment, including respiratory phase selection, zero-degree alignment, thirty-degree confirmation, and final re-confirmation.
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Which Phase of Respiration Should Be Targeted?
01:12
Alignment in Two Axes During X-ray Guided SWL
01:51
Zero-Degree Alignment
02:46
Which Way Should the C-arm Be Angulated?
01:01
Alignment of Stone in Two Axes
01:00
Thirty-Degree Alignment
01:11
Table Height Correction in Thirty Degrees
01:08
Re-confirmation After Thirty-Degree Alignment
01:01
Acoustic Coupling
This chapter explains how to achieve effective acoustic coupling using gel or water, and why coupling must be checked again before shock wave delivery begins.
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Importance of Acoustic Coupling
01:08
Coupling of the Treatment Head
01:01
Gel Coupling: Applying Gel and patient coupling
01:52
Water Coupling
01:02
Re-confirmation After Coupling
00:59
Common Targeting and Alignment Errors
This chapter highlights common alignment mistakes that can reduce treatment accuracy and explains how operators can avoid them during SWL.
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Common Mistakes During Alignment
01:10
Energy Delivery and Ramping
Delivery and Ramping This chapter explains how energy should be delivered safely and progressively, why ramping is central to successful SWL, and how operators should adapt ramping during treatment.
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Why SWL Should Never Start at High Energy
01:04
Energy Ramping: The Backbone of Successful ESWL
04:37
How to Perform Effective Ramping
01:25
Personalized Ramping: Advanced Learning
01:15
Shock Wave Frequency and Shock Count
This chapter explains how shock wave frequency and total shock number influence fragmentation efficiency, patient safety, and operator decision-making.
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Shock Wave Frequency: Why Slower Is Often Better
01:15
Balancing Energy and Frequency
01:23
Advantages of Slower Shock Wave Delivery
01:15
Total Number of Shocks: A Technical View
01:20
Monitoring During Treatment
This chapter teaches operators how to monitor stone response, manage movement and pain, and decide when to pause or adjust during the ESWL session.
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Monitoring Fragmentation During ESWL
01:29
Managing Stone Movement During Treatment
01:18
Pain and Comfort from a Technical Perspective
01:15
When to Pause or Adjust During SWL
01:24
Completing the Treatment
This chapter explains how to end the SWL session thoughtfully, avoid unnecessary shocks, and complete immediate post-treatment technical documentation.
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Ending the SWL Session
01:10
Immediate Post-Treatment Technical Checks
01:10
How to perform SWL
00:20:00
Operator Responsibility and Course Summary
This chapter reinforces the operator’s role in treatment quality and summarizes the key principles needed for safe, precise, and effective ESWL.
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Why Technique Matters More Than Technology
01:04
SWL as a Controlled Process
01:01
Key Technical Principles to Remember
01:31
Thank You for Completing the Course
01:04
How to perform SWL
About Lesson

This opening topic introduces the course and explains that ESWL is a structured, operator-dependent procedure. Learners are introduced to the idea that successful SWL depends not only on the machine, but also on patient preparation, accurate targeting, proper coupling, controlled energy delivery, and continuous monitoring.

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