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Auditory function after spinal anesthesia

Wang, L P; Magnusson, M LU ; Lundberg, Johan LU and Törnebrandt, K (1993) In Journal of Anesthesia 18(3). p.5-162
Abstract

OBJECTIVE: To determine the effect of spinal anesthesia using 26-gauge needles on hearing.

METHODS: Eighteen male patients undergoing transurethral resection of the prostate (TURP) or other transurethral procedures under spinal or epidural anesthesia were studied prospectively to reveal possible auditory side effects of dural puncture or absorption of irrigation fluid to the blood stream. Measurement of auditory function by pure tone, Bekesy and speech audiometry, and measurement of serum concentrations of sodium, potassium, urea, and glucose were performed preoperatively and postoperatively. Clinical examination of cranial nerve functions was performed postoperatively.

RESULTS: No mean change in hearing ability was seen in... (More)

OBJECTIVE: To determine the effect of spinal anesthesia using 26-gauge needles on hearing.

METHODS: Eighteen male patients undergoing transurethral resection of the prostate (TURP) or other transurethral procedures under spinal or epidural anesthesia were studied prospectively to reveal possible auditory side effects of dural puncture or absorption of irrigation fluid to the blood stream. Measurement of auditory function by pure tone, Bekesy and speech audiometry, and measurement of serum concentrations of sodium, potassium, urea, and glucose were performed preoperatively and postoperatively. Clinical examination of cranial nerve functions was performed postoperatively.

RESULTS: No mean change in hearing ability was seen in any group. One patient had severe, transient, low-frequency hearing loss with simultaneous severe postdural puncture headache. A statistically significant postoperative fall in serum osmolarity was noted in the epidural TURP group.

CONCLUSION: Transient, severe hearing loss may still occur after spinal anesthesia using a 26-gauge needle. Minor hearing loss does not seem to be a problem with this needle size.

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author
organization
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type
Contribution to journal
publication status
published
subject
keywords
Aged, Anesthesia, Spinal, Hearing Disorders, Humans, Male, Middle Aged, Prospective Studies, Prostatectomy, Journal Article
in
Journal of Anesthesia
volume
18
issue
3
pages
4 pages
publisher
Springer
external identifiers
  • scopus:0027310712
ISSN
0146-521X
language
English
LU publication?
yes
id
47f8233a-5510-4b2d-b970-534bea98e6c1
date added to LUP
2017-05-03 12:31:48
date last changed
2017-05-12 14:51:28
@article{47f8233a-5510-4b2d-b970-534bea98e6c1,
  abstract     = {<p>OBJECTIVE: To determine the effect of spinal anesthesia using 26-gauge needles on hearing.</p><p>METHODS: Eighteen male patients undergoing transurethral resection of the prostate (TURP) or other transurethral procedures under spinal or epidural anesthesia were studied prospectively to reveal possible auditory side effects of dural puncture or absorption of irrigation fluid to the blood stream. Measurement of auditory function by pure tone, Bekesy and speech audiometry, and measurement of serum concentrations of sodium, potassium, urea, and glucose were performed preoperatively and postoperatively. Clinical examination of cranial nerve functions was performed postoperatively.</p><p>RESULTS: No mean change in hearing ability was seen in any group. One patient had severe, transient, low-frequency hearing loss with simultaneous severe postdural puncture headache. A statistically significant postoperative fall in serum osmolarity was noted in the epidural TURP group.</p><p>CONCLUSION: Transient, severe hearing loss may still occur after spinal anesthesia using a 26-gauge needle. Minor hearing loss does not seem to be a problem with this needle size.</p>},
  author       = {Wang, L P and Magnusson, M and Lundberg, Johan and Törnebrandt, K},
  issn         = {0146-521X},
  keyword      = {Aged,Anesthesia, Spinal,Hearing Disorders,Humans,Male,Middle Aged,Prospective Studies,Prostatectomy,Journal Article},
  language     = {eng},
  month        = {05},
  number       = {3},
  pages        = {5--162},
  publisher    = {Springer},
  series       = {Journal of Anesthesia},
  title        = {Auditory function after spinal anesthesia},
  volume       = {18},
  year         = {1993},
}