Combined local anesthesia and monitored anesthesia care for cochlear implantation

Alzahrani, Musaed; Fortin, Martin; Bobillier, C.; Robier, A.; Lescanne, E.

doi:10.1016/j.anorl.2012.12.006

Cited by 17 publications

(10 citation statements)

References 7 publications

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“…Thus, patients often accept this alternative to GA. Local anaesthesia with sedation and intravenous analgesia injected under an anaesthetist's control is currently a standardised procedure that produces excellent results among co-operative adults 18 , 19 . This type of anaesthesia requires good collaboration between the surgeon and the anaesthetist, and the sedation protocol should be clearly established by the anaesthetist, with the possibility of adding dose-controlled drugs 20 . In our study, all patients underwent cochlear implantation, and no specific complications were observed.…”

Section: Discussionmentioning

confidence: 82%

Local anaesthesia and conscious sedation for cochlear implantation: experience with 20 patients

et al. 2015

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Section: Discussionmentioning

confidence: 82%

Local anaesthesia and conscious sedation for cochlear implantation: experience with 20 patients

et al. 2015

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“…To address the needs of patients who have multiple medical problems that significantly increase the risk of GA or who harbor a fear of GA, CI surgery under local anesthesia and conscious sedation (LA‐CS) has been offered. The literature to date on CI under LA‐CS has been limited to case reports and small case series but demonstrates the feasibility of this technique 14–23 . This includes a publication from our center comparing small age‐matched cohorts of patients who underwent CI under LA‐CS and GA 14 .…”

Section: Introductionmentioning

confidence: 99%

Cochlear Implantation Under Local Anesthesia With Conscious Sedation in the Elderly: First 100 Cases

et al. 2020

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Objective To report the outcomes on a large series of elderly patients who underwent cochlear implantation (CI) surgery under local anesthesia with conscious sedation (LA‐CS). Methods Retrospective chart review on 100 consecutive elderly patients (> 65 years) who underwent CI with LA‐CS at a tertiary care center between August 2013 and January 2020. An age‐matched control group of 50 patients who underwent CI with general anesthesia (GA) are used for comparison. Outcomes measured included time in the operating room, time in the postanesthesia care unit (PACU), and rate of adverse events. Results Cochlear implant surgery under LA‐CS was successfully performed in 99 (99%) patients. One patient requiring conversion to GA intraoperatively. No patients in the LA‐CS group experienced cardiopulmonary adverse events; however, three patients (6%) in the GA group experienced minor events including atrial fibrillation and/or demand ischemia. Overnight observation in the hospital due to postoperative medical concerns or prolonged wake‐up from anesthesia was required in one patient (1%) from the LA‐CS cohort and 12 patients (24%) from the GA cohort. Perioperative adverse events exclusive to the LA‐CS group included severe intraoperative vertigo (8%), temporary facial nerve paresis (3%), and wound infection (1%). The average amount of time spent in the operating room was 37 minutes less for procedures performed under LA‐CS compared to GA (P < .05). The average amount of time in recovery was similar for both groups (P > .05). Conclusion Cochlear implant surgery under LA‐CS offers many benefits and is a safe, feasible, and cost‐effective alternative to GA when performed by experienced CI surgeons. Level of Evidence 3 Laryngoscope, 131:E946–E951, 2021

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“…Previous studies have demonstrated the safety and efficacy of MAC in ERCP, endoscopic ultrasound (EUS), double-balloon enteroscopy (DBE), and some ophthalmologic and otolaryngologic operations [12][13][14][15][16][17]. Berkenstadt et al performed a craniotomy under MAC in 2001 [18].…”

Section: Introductionmentioning

confidence: 97%

Single‐Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis

Wang

Tao

et al. 2015

World j. surg.

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Combined local anesthesia and monitored anesthesia care for cochlear implantation

Abstract: We find local anesthesia with light sedation a good alternative to general anesthesia for patients where general anesthesia is contraindicated. An experienced surgical and anesthesiology team is essential to shorten the duration of the procedure.

Cited by 17 publications

References 7 publications

Local anaesthesia and conscious sedation for cochlear implantation: experience with 20 patients

Local anaesthesia and conscious sedation for cochlear implantation: experience with 20 patients

Cochlear Implantation Under Local Anesthesia With Conscious Sedation in the Elderly: First 100 Cases

Single‐Port Endoscopic Thoracic Sympathectomy with Monitored Anesthesia Care: A More Promising Procedure for Palmar Hyperhidrosis

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