The effect of different anaesthetic agents in hearing loss following spinal anaesthesia


Gültekin S., Yilmaz N., Ceyhan A., Karamustafa I., KILIÇ R., Ünal N.

European Journal of Anaesthesiology, cilt.15, sa.1, ss.61-63, 1998 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 1
  • Basım Tarihi: 1998
  • Doi Numarası: 10.1046/j.1365-2346.1998.00232.x
  • Dergi Adı: European Journal of Anaesthesiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.61-63
  • Anahtar Kelimeler: Anaesthesia, regional, spinal, Complication, hearing loss, Oto-rhino-laryngology, audiometry, Pharmacology, prilocaine, bupivacaine
  • Sağlık Bilimleri Üniversitesi Adresli: Hayır

Özet

The cause of hearing loss after spinal anaesthesia is unknown. Up until now, the only factor studied has been the effect of the diameter of the spinal needle on post-operative sensorineural hearing loss. The aim of this study was to describe this hearing loss and to investigate other factors influencing the degree of hearing loss. Two groups of 22 similar patients were studied: one group received 6mL prilocaine 2%; and the other received 3mL bupivacaine 0.5%. Patients given prilocaine were more likely to develop hearing loss (10 out of 22) than those given bupivacaine (4 out of 22) (P < 0.05). The average hearing loss for speech frequencies was about 10dB after prilocaine and 15 dB after bupivacaine. None of the patients complained of subjective hearing loss. Long-term follow-up of the patients was not possible.