23. Evaluation of the impact of anesthesia on hearing in surgical patients

Pham Thi Bich Dao, Vu Hoang Phuong, Tran Van Tam, Le Minh Dat, Bui Thi Mai, Nguyen Thu Trang, Pham Anh Dung, Nguyen Thi Xuan Hoa, Nguyen Thi Thai Chung

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Abstract




Postoperative hearing loss is a rarely reported phenomenon. However, this phenomenon had been increasing lately Postoperative hearing loss can be unilateral or bilateral, transient or permanent, and has been reported with most anesthetic techniques. The study was conducted on 25 patients receiving endotracheal anesthesia at Hanoi Medical University Hospital after abdominal surgery. The patient's hearing capacity was evaluated 1 day before surgery, 1 day, 1 week, and 1 month after surgery. Results: Characteristics of study subjects: 18 women, 7 men, age range: 24 - 68 years old, most common age is 40 - 50 years old, accounting for 67.2%. Fentanyl 0.5mg, Propofol 1%, Rocuronium bromide 10 mg/ml x 5ml, Ondansetron 8 mg/4ml, Ketorolac 30 mg/1ml were the chosen anesthetics. One day after surgery, 18/25 (72%) patients had hearing loss at different levels, and 25% had sensorineural hearing loss. 11/18 (61.1%) patients had mild sensorineural hearing loss, 7/18 had moderate sensorineural hearing loss. After 1 week, 2 patients had mild hearing loss; after 4 weeks, 1 patient had mild hearing loss. There was close correlation between changes in hearing and anesthesia time R > 1, anesthetic drug R > 1.2 and recovery time after surgery > 0.9.




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References

1. Lawes EG. Auditory stimulation and levels of anaesthesia. Anaesthesia. 2017;72(8):1043- 1044. doi:10.1111/anae.13945
2. Hartikainen K, Rorarius MGF. Cortical responses to auditory stimuli during isoflurane burst suppression anaesthesia. Anaesthesia. 1999;54(3):210-214. doi:10.1046/j.1365-2044.1 999.00300.x
3. Deeprose C, Andrade J, Harrison D, et al. Unconscious auditory priming during surgery with propofol and nitrous oxide anaesthesia: a replication. Br J Anaesth. 2005;94(1):57-62. doi:10.1093/bja/aeh289
4. P Aceto, A Valente, M Gorgoglione, et al. Relationship between awareness and middle latency auditory evoked responses during surgical anaesthesia. Br J Anaesth. 2003;90(5):630-5. doi:10.1093/bja/aeg113.
5. Michael Wang, Catherine Deeprose, Jackie Andrade, et al. Psychology in the operating theatre. The British Psychological society. https://www.bps.org.uk/psychologist/ psychology-operating-theatre. Accessed September 25, 2023.
6. Ecsy K, Jones AKP, Brown CA. Alpha-range visual and auditory stimulation reduces the perception of pain. Eur J Pain. 2017;21(3):562-572. doi:10.1002/ejp.960
7. Jing Z, Pecka M, Grothe B. Ketamine-xylazine anesthesia depth affects auditory neuronal responses in the lateral superior olive complex of the gerbil. J Neurophysiol. 2021;126(5):1660-1669. doi:10.1152/jn.00217 .2021
8. Swanepoel D, Ebrahim S. Auditory steady-state response and auditory brainstem response thresholds in children. Eur Arch Otorhinolaryngol. 2009;266(2):213-219. doi:10. 1007/s00405-008-0738-1
9. Norrix LW, Trepanier S, Atlas M, et al. The Auditory Brainstem Response: Latencies Obtained in Children While under General Anesthesia. J Am Acad Audiol. 2012;23(1):57- 63. doi:10.3766/jaaa.23.1.6
10. Banoub M, Tetzlaff JE, Schubert A. Pharmacologic and physiologic influences affecting sensory evoked potentials: implications for perioperative monitoring. Anesthesiology. 2003;99(3):716-737. doi:10.1097/00000542-20 0309000-00029