Role of LIDOCAINE IN Pediatric Cochlear Implant Surgery

Wahba bakhet

Status and phase: Completed; Phase 4

Conditions: Anesthesia

Treatments: Drug: Lidocaine; Other: Na CL 0.9%

Study type: Interventional

Funder types: Other

Identifiers

NCT04194294

LIDOCAINE-CI

Details and patient eligibility

About

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.

Full 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.

Enrollment: 70 patients

Sex: All

Ages: 6 months to 6 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

ASA I and II children

Exclusion criteria

uncontrolled hypertension, diabetes mellitus, liver disease, kidney disease, heart disease, allergy to lidocaine

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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70 participants in 2 patient groups

Liocaine

Active Comparator group

Description:

Group Lid

Treatment:

Drug: Lidocaine

Na CL 0.9%

Active Comparator group

Description:

group C

Treatment:

Other: Na CL 0.9%