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| Name | Class |
|---|---|
| Bahteem Specialized Hospital | OTHER |
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The stapedius reflex protects the ear from the loud noise. The measurement of the intraoperative electrically evoked stapedial reflex threshold (ESRT) during pediatric cochlear implants (CIs) is used to confirm that the implant is functioning correctly and determine the maximum comfortable level . Total intravenous anesthesia (TIVA) with propofol and remifentanil is frequently used for pediatric CIs as it does not suppress the ESRT. However, high doses of remifentanil exacerbates postoperative pain and increased opioid consumption.
Total intravenous anesthesia (TIVA) with propofol and remifentanil is frequently used for pediatric CIs as it does not suppress the ESRT. However, high doses of remifentanil exacerbates postoperative pain and increased opioid consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Liocaine | Active Comparator | Group Lid |
|
| Na CL 0.9% | Active Comparator | group C |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lidocaine | Drug | Before induction of anesthesia; children in group LID received an iv bolus dose of LIDOCAINE 1 mg/kg over 5 minutes followed by 1 mg Kg-1 h-1 ivi until the start of skin closure. |
| Measure | Description | Time Frame |
|---|---|---|
| Remifentanil consumption | microgram per kilogram | at the end of the surgey |
| Measure | Description | Time Frame |
|---|---|---|
| ESRT responses | the surgeon assessed ESRT response at the basal, middle, and apical areas of the electrode array by visual monitoring of the stapedius muscle using direct | After insertion of the electrode and after reversal of any residual muscle relaxant (TOF response > 0.9), |
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Inclusion Criteria:
ASA I and II children
Exclusion Criteria:
uncontrolled hypertension, diabetes mellitus, liver disease, kidney disease, heart disease, allergy to lidocaine
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| ID | Term |
|---|---|
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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|
| Na CL 0.9% | Other | Before induction of anesthesia; children in group C equivalent volumes of Na Cl 0.9% over the same period instead of LIDOCAINE. |
|
|
| Aniline Compounds |
| D000588 | Amines |