Role of LIDOCAINE IN Pediatric Cochlear Implant Surgery
Status:
Completed
Trial end date:
2019-06-05
Target enrollment:
Participant gender:
Summary
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.