Yıl: 2019 Cilt: 47 Sayı: 2 Sayfa Aralığı: 92 - 97 Metin Dili: İngilizce DOI: 10.5152/TJAR.2018.52284 İndeks Tarihi: 21-05-2020

Effects of General Anaesthesia on the Middle Ear Pressure

Öz:
Objective: Inhalation agents can have different effects on the middle ear pressure (MEP). We aimed to investigate the effect of sevoflurane anddesflurane, the agents used in patients who do not have any ear pathology and who undergo surgery under general anaesthesia, on MEP.Methods: Fifty adult patients who were scheduled to undergo inguinal hernia and lower extremity surgery were included in our study. All patients were aged between 20 and 60 years and belonged to the American Society of Anesthesiologists (ASA) I-III class. Patients were divided intotwo groups, according to the inhalation agent administered for the surgery: sevofluran, Group S (n=25); and desfluran, Group D (n=25). Anaesthetic agents, intraoperative end tidal carbon dioxide and airway pressures were recorded. The MEP was measured for both ears preoperatively,at the intraoperative 5th, 10th, 15th minutes, and at the postoperative 10th and 30th minutes.Results: The MEP at the intraoperative 10th minute was significantly higher in Group D compared to Group S. In Group D, the MEP increasedsignificantly at the intraoperative 10th and 15th minutes, and postoperative 30th minute, compared to preoperative values. In Group S, the MEPincreased significantly at the postoperative 10th minute, compared to preoperative values.Conclusion: We found that desflurane increases the MEP during the intraoperative and postoperative period, compared to sevoflurane.
Anahtar Kelime:

Konular: Anestezi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Gaihede M, Kjaer D. Positional changes and stabilization of mile ear pressure. Auris Nasus Larynx 1998; 25: 255-9. [CrossRef]
  • 2. Ikarashi F, Tsuchiya A. Middle ear gas exchange via the mucosa: estimation by hyperventilation. Acta Otolaryngologica 2008; 128: 9-12. [CrossRef]
  • 3. Ozturk O, Demiraran Y, Ilce Z, Kocaman B, Guclu E, Karaman E. Effects of sevoflurane and TIVA with propofol on middle ear pressure. Int J Pediatr Otorhinolaryngol 2006; 70: 1231- 4. [CrossRef]
  • 4. Ozturk O, Ilce Z, Demiraran Y, Iskender A, Guclu E, Yildizbas S. Effects of desflurane on middle ear pressure. Int J Pediatr Otorhinolaryngol 2007; 71: 1439-41. [CrossRef]
  • 5. Sprung J, Bourke DL, Contreras MG, Warner ME, Findlay J. Perioperative hearing impairment. Anesthesiology 2003; 98: 241-57. [CrossRef]
  • 6. Millen SJ, Toohill RJ, Lehman RH. Sudden sensorineural hearing loss: Operative complication in non-otologic surgery. Laryngoscope 1982; 92: 613-7. [CrossRef]
  • 7. Sade J, Luntz M. Gaseous pathways in atelectatic ears. Ann Otol Rhinol Laryngol 1980; 89(Suppl 68): 56-61.
  • 8. Sade J, Luntz M, Levy D. Middle ear gas composition and middle ear aeration. Ann Otol Rhinol Laryngol 1995; 104: 369-73. [CrossRef]
  • 9. Tideholm B, Carlborg B, Jönsson S, Bylander-Groth A. Continuous long-term measurements of the middle ear pressure in subjects without a history of ear disease. Acta Otolaryngol 1998; 118: 369-74. [CrossRef]
  • 10. Rozet I, Vavilala MS. Risks and benefits of patient positioning during neurosurgical care. Anesthesiol Clin 2007; 25: 631-53. [CrossRef]
  • 11. Ikarashi F. The effect of respiratory mode on human middle ear pressure. Auris Nasus Larynx 1998; 25: 349-54. [CrossRef]
  • 12. Teixeira F, Tomita S, Tavares de Lima M. Evaluation of tympanometric alterations in patients subject to general anesthesia with nitrous oxide. Braz J Otorhinolaryngol 2005; 71: 274-80. [CrossRef]
  • 13. Acar B, Degerli S, Sahin S, Karasen RM. Comparing the effects of desflurane and isoflurane on middle ear pressure. Acta Otorhinolaryngol Ital 2010; 30: 285-8.
  • 14. Duger C, Dogan M, Isbir AC, Ozdemir Kol I, Gursoy S, Kaygusuz K, et al. Comparison of the effects of desflurane and sevoflurane on middle ear pressure: a randomized controlled clinical trial. ORL J Otorhinolaryngol Relat Spec 2013; 75: 314-9. [CrossRef]
APA DENİZ E, Hekimoglu SAHIN S, Süt N (2019). Effects of General Anaesthesia on the Middle Ear Pressure. , 92 - 97. 10.5152/TJAR.2018.52284
Chicago DENİZ Engin,Hekimoglu SAHIN Sevtap,Süt Necdet Effects of General Anaesthesia on the Middle Ear Pressure. (2019): 92 - 97. 10.5152/TJAR.2018.52284
MLA DENİZ Engin,Hekimoglu SAHIN Sevtap,Süt Necdet Effects of General Anaesthesia on the Middle Ear Pressure. , 2019, ss.92 - 97. 10.5152/TJAR.2018.52284
AMA DENİZ E,Hekimoglu SAHIN S,Süt N Effects of General Anaesthesia on the Middle Ear Pressure. . 2019; 92 - 97. 10.5152/TJAR.2018.52284
Vancouver DENİZ E,Hekimoglu SAHIN S,Süt N Effects of General Anaesthesia on the Middle Ear Pressure. . 2019; 92 - 97. 10.5152/TJAR.2018.52284
IEEE DENİZ E,Hekimoglu SAHIN S,Süt N "Effects of General Anaesthesia on the Middle Ear Pressure." , ss.92 - 97, 2019. 10.5152/TJAR.2018.52284
ISNAD DENİZ, Engin vd. "Effects of General Anaesthesia on the Middle Ear Pressure". (2019), 92-97. https://doi.org/10.5152/TJAR.2018.52284
APA DENİZ E, Hekimoglu SAHIN S, Süt N (2019). Effects of General Anaesthesia on the Middle Ear Pressure. Turkish Journal of Anaesthesiology and Reanimation, 47(2), 92 - 97. 10.5152/TJAR.2018.52284
Chicago DENİZ Engin,Hekimoglu SAHIN Sevtap,Süt Necdet Effects of General Anaesthesia on the Middle Ear Pressure. Turkish Journal of Anaesthesiology and Reanimation 47, no.2 (2019): 92 - 97. 10.5152/TJAR.2018.52284
MLA DENİZ Engin,Hekimoglu SAHIN Sevtap,Süt Necdet Effects of General Anaesthesia on the Middle Ear Pressure. Turkish Journal of Anaesthesiology and Reanimation, vol.47, no.2, 2019, ss.92 - 97. 10.5152/TJAR.2018.52284
AMA DENİZ E,Hekimoglu SAHIN S,Süt N Effects of General Anaesthesia on the Middle Ear Pressure. Turkish Journal of Anaesthesiology and Reanimation. 2019; 47(2): 92 - 97. 10.5152/TJAR.2018.52284
Vancouver DENİZ E,Hekimoglu SAHIN S,Süt N Effects of General Anaesthesia on the Middle Ear Pressure. Turkish Journal of Anaesthesiology and Reanimation. 2019; 47(2): 92 - 97. 10.5152/TJAR.2018.52284
IEEE DENİZ E,Hekimoglu SAHIN S,Süt N "Effects of General Anaesthesia on the Middle Ear Pressure." Turkish Journal of Anaesthesiology and Reanimation, 47, ss.92 - 97, 2019. 10.5152/TJAR.2018.52284
ISNAD DENİZ, Engin vd. "Effects of General Anaesthesia on the Middle Ear Pressure". Turkish Journal of Anaesthesiology and Reanimation 47/2 (2019), 92-97. https://doi.org/10.5152/TJAR.2018.52284