Role of LIDOCAINE IN Pediatric Cochlear Implant Surgery
- Registration Number
- NCT04194294
- Lead Sponsor
- Wahba bakhet
- Brief 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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
ASA I and II children
uncontrolled hypertension, diabetes mellitus, liver disease, kidney disease, heart disease, allergy to lidocaine
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Na CL 0.9% Na CL 0.9% group C Liocaine Lidocaine Group Lid
- Primary Outcome Measures
Name Time Method Remifentanil consumption at the end of the surgey microgram per kilogram
- Secondary Outcome Measures
Name Time Method ESRT responses After insertion of the electrode and after reversal of any residual muscle relaxant (TOF response > 0.9), 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