Kohlear implant cerrahisinde anestezi yaklaşımları.

Purpose: Cochlear implantation (CI) is process of inserting a hearing aid which provide perception of the voice with stimulating nerve fibers to regain hearing, and is applied to a population of patients most of whom are pediatric patients. In t his s tudy, w e a imed t o p resent anesthesia management and possible complications of patients undergoing CI operation. Materials and Methods: In this retrospective crosssectional study, 82 patients undergoing cochlear implantation between January 1, 2017 and March 1, 2018 were included. Demographic data such as age, gender, concomitant diseases and/or syndromes, anesthetic drugs, fluid therapy, duration of operation, complications during and after operation were recorded. All of the patients information’s were obtained from medical information system used in our hospital, archived patient files and anesthesia records. The data were evaluated statistically. Results: Total records of 81 patients were obtained. 52 of the patients were male (64.2%) and 29 were female (35.8%). Seventy-three patients (90.1%) were under the age of 15, 26 patients (32.1%) were found to have hearing loss in their families and 29 (35.8%) were related to their parents. When anesthesia related complications were examined, bronchospasm was detected in 3 patients (3.7%) and postoperative respiratory failure was observed in 2 patients (2.5%). Four patients (4,9%) had postoperative infection, 1 patient had bleeding (1,2%), 2 patients (2,4%) had electrodes displacement and 1 patient had spasm in sternocleidomastoid muscle. Conclusion: It has been determined that the complication rates related to both surgical and anesthesia are very low. [ABSTRACT FROM AUTHOR]