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人工耳蜗植入手术的局部麻醉:对患者风险低,对医院成本少,是一种合理的选择。

Local anesthesia for cochlear implant surgery: low risks for the patient and few costs for the hospital, a rational alternative.

作者信息

Hamerschmidt R, Mocellin M, Gasperin A, Faria J L G, Wiemes G, Kutianski V, Pasinato L, Soares W

机构信息

Hospital de Clínicas da Universidade Federal do Paraná, Instituto Paranaense de Otorinolaringologia IPO, Av. República Argentina 2069, Agua Verde, CEP 80620-010 Curitiba, Paraná, Brasil.

出版信息

Rev Laryngol Otol Rhinol (Bord). 2011;132(4-5):227-9.

PMID:22908545
Abstract

OBJECTIVES

The aim of this article is to illustrate the possibility of performing a cochlear implant with local anesthesia and sedation, the anesthesic technique and the advantages of that in comparison to a general anesthesia.

MATERIAL AND METHODS

We describe two successful surgeries done with local anesthesia, including the neural telemetry and the conditions the patient presented after the surgery, with a very good recovery and no complications during and after the procedure.

RESULTS

The results of these two surgeries are described regarding the fast recovery, no symptoms of dizziness and vomiting after the surgeries, discharging from the hospital on the same day, and the immediate post operative period by meaning of complaints from the patient.

CONCLUSION

Local anesthesia with sedation for cochlear implant surgery in adults is a very good alternative for lowering the morbidity of the patient, fewer risks, lower costs for the hospital, with a very good control of the surgery.

摘要

目的

本文旨在说明在局部麻醉和镇静下进行人工耳蜗植入手术的可能性、麻醉技术以及与全身麻醉相比的优势。

材料与方法

我们描述了两例在局部麻醉下成功完成的手术,包括神经遥测以及患者术后的情况,恢复良好,术中及术后均无并发症。

结果

描述了这两例手术的结果,包括恢复迅速、术后无头晕和呕吐症状、当天出院以及患者术后即时的主诉情况。

结论

成人人工耳蜗植入手术采用局部麻醉加镇静是降低患者发病率、减少风险、降低医院成本、很好地控制手术过程的一种非常好的选择。

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Local anesthesia for cochlear implant surgery: low risks for the patient and few costs for the hospital, a rational alternative.人工耳蜗植入手术的局部麻醉:对患者风险低,对医院成本少,是一种合理的选择。
Rev Laryngol Otol Rhinol (Bord). 2011;132(4-5):227-9.
2
Local anesthesia for cochlear implant surgery: a possible alternative.耳蜗植入手术的局部麻醉:一种可能的替代方法。
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引用本文的文献

1
Cochlear implantation under local anesthesia: a possible alternative for elderly patients.局部麻醉下的人工耳蜗植入:老年患者的一种可行选择。
Eur Arch Otorhinolaryngol. 2019 Jun;276(6):1643-1647. doi: 10.1007/s00405-019-05407-7. Epub 2019 Apr 4.