Anestezik Ajanlar ve Otoakustik Emisyonlar

Yıl 2023, Cilt: 32 Sayı: 3, 137 - 146, 30.09.2023

Ceren Güneş , Ebru Biricik , Özgür Tarkan , Yasemin Güneş

https://doi.org/10.17827/aktd.1190284

Öz

Otoakustik emisyonlar (OAE' lar), kulak kanalında kaydedilebilen ve koklear aktiviteyi yansıttığı düşünülen zayıf sinyallerdir. OAE’ lar ilk olarak 1978'de David Kemp tarafından tanımlanmış ve o zamandan beri OAE' lar işitme kaybı için bir tarama testi haline gelmiştir. Nadiren OAE testlerinin yapılması için sedasyon veya genel anestezi gerekebilir. Anesteziklerin hem hemodinamiyi etkileyerek hem de farmakolojik etkiler ile OAE eşiklerini düşürdüğü veya arttırdığı bildirilmiştir. Çalışmalarda izofluranın iki farklı etkisi gözlenmektedir. İzofluran hem periferik hem de merkezi işitsel sistemler üzerinde zararlı etkilere sahip olabilir, ancak izofluran ayrıca dış tüy hücresi (OHC) amplifikasyonunu güçlendirerek veya gürültüye bağlı işitmeye karşı koruma sağlayarak işitsel işlevi iyileştirebilir. Bu derlemede çeşitli anestezik ajanların otoakustik emisyonlar üzerindeki etkileri değerlendirilmiştir.

Anahtar Kelimeler

Otoakustik emisyonlar, Genel anestezi, İnhalasyon Anestezikleri

Kaynakça

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