Does hearing loss after spinal anesthesia differ between young and elderly patients?

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dc.contributor.authorGültekin, S.
dc.contributor.authorÖzcan, S.
dc.date.accessioned2020-06-25T17:35:03Z
dc.date.available2020-06-25T17:35:03Z
dc.date.issued2002
dc.departmentKırıkkale Üniversitesi
dc.description.abstractFifty male patients scheduled for inguinal hernia repair with spinal anesthesia were included in this study. The patients were divided into two groups: 25 patients aged 30 yr or younger (Group Y) and 25 patients aged 60 yr or older (Group E). We performed subarachnoidal injection at the L3-4 interspace by using a 25-gauge Quincke needle with the patient in the sitting position, and 3 mL of 0.5% isobaric bupivacaine was administered. Patients were evaluated by pure tone audiometry (LdB [low frequencies], 125-500 Hz; SdB [speech frequencies], 500-2000 Hz; HdB [high frequencies], 2000-6000 Hz) on the day before and 2 days after spinal anesthesia. Low-frequency hearing loss observed in Group Y was significantly more common than in Group E (P < 0.01), There was no difference between the groups in speech and high frequencies. Mild hearing loss, defined as a hearing loss of 10-20 dB at two or more frequencies, was observed three times more frequently in Group Y than Group E (52% vs 16%; P = 0.014). We conclude that transient hearing loss was more common in young patients after spinal anesthesia, perhaps because the cerebrospinal fluid leakage after dural puncture is less in the elderly than in the young, a finding also associated with the infrequent incidence of postdural puncture headache in the elderly.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.endpage1320en_US
dc.identifier.issn0003-2999
dc.identifier.issue5en_US
dc.identifier.pmid11973212
dc.identifier.startpage1318en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3004
dc.identifier.volume94en_US
dc.identifier.wosWOS:000175284500051
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnesthesia And Analgesia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleDoes hearing loss after spinal anesthesia differ between young and elderly patients?en_US
dc.typeArticle

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