Shabashev Samion, Fouad Yasser, Huncke T Kate, Roland J Thomas
a NYU Department of Anesthesiology, Perioperative Care, and Pain Medicine , NYU Langone Medical Center , New York , NY , USA.
b Otlaryngology Department, Faculty of Medicine , Zagazig University , Zagazig , Egypt.
Cochlear Implants Int. 2017 Nov;18(6):297-303. doi: 10.1080/14670100.2017.1376423. Epub 2017 Sep 21.
To evaluate the safety, efficiency, cost effectiveness, and satisfaction of patients undergoing cochlear implantation under conscious sedation versus general anesthesia.
Retrospective case review of 20 patients who underwent cochlear implantation under conscious sedation which was compared to 20 age-matched patients where surgery was performed under general anesthesia.
Perioperative times, length of stay, anesthesia drug costs, postoperative complications, and patient satisfaction were compared between the two groups.
Conscious sedation was associated with decreased drug costs, surgery time, and anesthesia time. Length of stay was significantly longer for patients undergoing general anesthesia. Patient satisfaction was superior with conscious sedation. Perioperative morbidity was not significantly different between the two groups.
Conscious sedation for cochlear implantation is a safe, efficient, and cost-effective alternative to general anesthesia. The efficacy of conscious sedation for cochlear implant surgery may expand the treatment of profound hearing loss to the elderly who are deemed too sick for general anesthesia or are fearful of the cognitive or medical consequences of general anesthesia.
评估在清醒镇静与全身麻醉下接受人工耳蜗植入手术患者的安全性、有效性、成本效益及患者满意度。
对20例在清醒镇静下接受人工耳蜗植入手术的患者进行回顾性病例分析，并与20例年龄匹配、接受全身麻醉手术的患者进行比较。
比较两组患者的围手术期时间、住院时间、麻醉药物费用、术后并发症及患者满意度。
清醒镇静与降低药物费用、手术时间及麻醉时间相关。接受全身麻醉的患者住院时间明显更长。清醒镇静组患者满意度更高。两组围手术期发病率无显著差异。
人工耳蜗植入的清醒镇静是一种安全、有效且具有成本效益的全身麻醉替代方法。清醒镇静用于人工耳蜗植入手术的有效性可能会将重度听力损失的治疗扩展到因病情过重而无法接受全身麻醉或害怕全身麻醉带来认知或医疗后果的老年人。
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