Comparison of propofol with propofol–ketamine combination in pediatric patients undergoing auditory brainstem response testing

2005 ◽  
Vol 69 (11) ◽  
pp. 1541-1545 ◽  
Author(s):  
Aynur Akin ◽  
Aliye Esmaoglu ◽  
Zeynep Tosun ◽  
Nebahat Gulcu ◽  
Harun Aydogan ◽  
...  
Keyword(s):  
Auditory Brainstem Response ◽  
Pediatric Patients ◽  
Auditory Brainstem ◽  
Brainstem Response ◽  
Response Testing

Safety and Complications of Sedation Anesthesia during Pediatric Auditory Brainstem Response Testing

ORL ◽  
2021 ◽  
pp. 1-5
Author(s):  
Senem Urfali ◽  
Boran Urfali ◽  
Elif Tugba Sarac ◽  
Onur Koyuncu
Keyword(s):  
Auditory Brainstem Response ◽  
Medical Records ◽  
Pediatric Patients ◽  
Auditory Brainstem ◽  
Procedure Time ◽  
Brainstem Response ◽  
Life Threatening ◽  
The Mean ◽  
Response Testing ◽  
Sedative Agents

<b><i>Objective:</i></b> The auditory brainstem response (ABR) test has been widely used in childhood. Although it is a painless procedure, sedation can be needed in pediatric patients. Thus, this study aimed to evaluate safety and complications of sedation anesthesia applied in pediatric patients during ABR testing. <b><i>Methods:</i></b> Medical records of 75 children who underwent ABR testing between 2018 and 2020 were evaluated retrospectively in terms of applicability, safety, and complications of sedation anesthesia. <b><i>Results:</i></b> The ages ranged from 3 to 9 (mean 6.2) years. Comorbidity was detected in 20% (<i>n</i> = 15); 3 had multiple comorbidities, and the most common comorbidity was Down syndrome (4%). The drugs used in sedation anesthesia were midazolam in 81.3% (<i>n</i> = 61), a combination of propofol and ketamine in 14.7% (<i>n</i> = 11), and only propofol in 4% (<i>n</i> = 3) of the patients. An additional drug use was needed in 44% (<i>n</i> = 33). The mean procedure time was 40 (range 30–55) min. The mean anesthesia duration was 45 (range 35–60) min. The mean recovery time was 10 (range 5–15) min. Complications related to anesthesia developed in 4 (5.33%) of the patients; respiratory distress, agitation, cough, and nausea-vomiting were seen in one of the patients, respectively. Complications like bradycardia and respiratory or cardiac arrest were not seen at all. <b><i>Conclusions:</i></b> The complication rate of sedation anesthesia performed during ABR testing of pediatric patients is quite low. It may be more beneficial to use combinations of sedation drugs instead of using a single sedation drug. Although sedation anesthesia appears to be safe in general, the potentially life-threatening complications of sedative agents should be remembered, especially in children who have comorbidities.

scholarly journals Efficacy of melatonin for auditory brainstem response testing in children: A systematic review

2020 ◽  
Vol 131 ◽  
pp. 109861 ◽  
Author(s):  
David B. Behrman ◽  
Jessica L. Bishop ◽  
Jeremy Godsell ◽  
Brian Shirley ◽  
Sarah Storey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Auditory Brainstem Response ◽  
Auditory Brainstem ◽  
Brainstem Response ◽  
Response Testing

Normal Brief-Tone Bone-Conduction Behavioral Thresholds Using the B-71 Transducer: Three Occlusion Conditions

2003 ◽  
Vol 14 (10) ◽  
pp. 556-562 ◽  
Author(s):  
Susan A. Small ◽  
David R. Stapells
Keyword(s):  
Auditory Brainstem Response ◽  
Pure Tone ◽  
Bone Conduction ◽  
Auditory Brainstem ◽  
Behavioral Thresholds ◽  
Brainstem Response ◽  
Occlusion Effect ◽  
Response Testing ◽  
Brief Tones ◽  
Air Conduction

Behavioral thresholds were measured from 31 adults with normal hearing for 500, 1000, 2000, and 4000 Hz brief tones presented using a B-71 bone oscillator. Three occlusion conditions were assessed: ears unoccluded, one ear occluded, and both ears occluded. Mean threshold force levels were 67, 54, 49, and 41 dB re:1μN peak-to-peak equivalent in the unoccluded condition for 500, 1000, 2000, and 4000 Hz, respectively (corrected for air-conduction pure-tone thresholds). A significant occlusion effect was observed for 500 and 1000 Hz stimuli. These thresholds may be used as the 0 dB nHL (normalhearing level) for brief-tone bone-conduction stimuli for auditory brainstem response testing.

Auditory Brainstem Response Differences in Diabetic and Non-diabetic Veterans

2007 ◽  
Vol 18 (10) ◽  
pp. 863-871 ◽  
Author(s):  
Nancy Vaughan ◽  
Kenneth James ◽  
Daniel McDermott ◽  
Susan Griest ◽  
Stephen Fausti
Keyword(s):  
Auditory Brainstem Response ◽  
Medical Center ◽  
Auditory Brainstem ◽  
Diabetic Patients ◽  
Patients With Diabetes ◽  
Brainstem Response ◽  
The Subject ◽  
The Right ◽  
Response Testing ◽  
Los Grupos

A number of studies have found statistically significant delays in auditory brainstem latencies of patients with diabetes compared with non-diabetic controls. However, the mechanisms ascribed as responsible for the latency differences between diabetic and non-diabetic patients vary among studies, and the latency differences, while significant, are small. In this 5-year prospective study, auditory brainstem response testing was conducted with 416 non-diabetic and 375 diabetic veterans from the Portland Veterans Affairs Medical Center as part of a larger study. Patients with diabetes had significantly delayed latencies of Wave III and V in the right ear and significantly prolonged interpeak I-III and I-V latencies in both ears. Stimulus polarity difference yielded slightly different results. None of the diabetes-related clinical characteristics were associated with the latency differences between the subject groups after accounting for hearing loss and age. Effect size was calculated and clinical significance of these differences is discussed. Un número de estudios han encontrado retardos estadísticamente significativos en las latencias auditivas del tallo cerebral en pacientes diabéticos comparados con controles no diabéticos. Sin embargo, los mecanismos atribuidos como responsables de las diferencias en las latencias entre pacientes diabéticos y no diabéticos varían entre estudios, y las diferencias en las latencias, aunque significativas, fueron pequeñas. En este estudio prospectivo a 5 años, se condujeron las pruebas de respuestas auditivas del tallo cerebral en 416 veteranos no diabéticos y 375 diabéticos, del Centro Médico de Asuntos de Veteranos de Portland, como parte de un estudio mayor. Los pacientes con diabetes tuvieron latencias significativamente retardadas para las ondas III y V en el oído derecho, y latencias inter-pico I-III y I-V significativamente retardadas en ambos oídos. Diferencias en la polaridad del estímulo rindieron resultados levemente diferentes. Ninguna de las características clínicas relacionadas con la diabetes se asoció con las diferencias en las latencias entre los grupos de sujetos, luego de considerar la pérdida auditiva y la edad. Se calculó el efecto del tamaño y se discutió el significado clínico de estas diferencias.

scholarly journals The Sensitivity of Auditory Brainstem Response Testing in Small Acoustic Neuromas

1992 ◽  
Vol 102 (9) ◽  
pp. 961???964 ◽  
Author(s):  
David F. Wilson ◽  
Richard S. Hodgson ◽  
Margaret F. Gustafson ◽  
Susan Hogue ◽  
Leigh Mills
Keyword(s):  
Auditory Brainstem Response ◽  
Auditory Brainstem ◽  
Acoustic Neuromas ◽  
Brainstem Response ◽  
Response Testing
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