Auditory function following spinal analgesia. Comparison of two spinal needles

European Journal of Anaesthesiology
S K MalhotraA Dutta

Abstract

Auditory impairment is among the lesser known complications of spinal analgesia. The aim of the present study was to determine the degree of vestibulocochlear dysfunction in patients undergoing spinal analgesia for lower abdominal surgery. Eighty patients who had received spinal analgesia for lower abdominal surgery were studied. Males were undergoing inguinal herniorraphy and the females tubectomy. Audiograms were performed before operation and on the second and seventh postoperative days. Hearing levels were measured from 250 Hz-8 kHz. In Group 1 (n = 40) a 22-gauge, cutting type of spinal needle (Howard Jones) was used. In Group 2 (n = 40) a 25-gauge, non-cutting spinal needle (Whitacre) was used. Hearing loss >10 dB was noticed in three patients in Group 1 and none in Group 2. The mean hearing level was more reduced in Group 1 patients. Use of cutting type spinal needle is associated with a greater decrease in mean hearing levels compared to the non-cutting type.

References

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Citations

May 8, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Peter H K Mak, Paul S Tumber
Jun 30, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Tulay Sahin YildizKamil Toker
May 9, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Erkan KaratasMuzaffer Kanlikama
Nov 27, 2010·Journal of Clinical Anesthesia·Asha TyagiMedha Mohta
Feb 26, 2015·The Journal of Laryngology and Otology·C SahinG Yigit
Jun 13, 2009·European Journal of Anaesthesiology·Atilla ErolSeref Otelcioglu
Nov 8, 2008·Annals of the New York Academy of Sciences·Robert L RuffMichael E Selzer
Sep 18, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Agata Janecka-PlacekHanna Misiołek

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