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Anestezik Ajanlar ve Otoakustik Emisyonlar

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

Kaynakça

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Toplam 67 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Ceren Güneş 0000-0003-2816-5344

Ebru Biricik 0000-0002-3355-198X

Özgür Tarkan 0000-0002-0689-6632

Yasemin Güneş 0000-0002-2112-127X

Erken Görünüm Tarihi 27 Eylül 2023
Yayımlanma Tarihi 30 Eylül 2023
Kabul Tarihi 17 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 32 Sayı: 3

Kaynak Göster

AMA Güneş C, Biricik E, Tarkan Ö, Güneş Y. Anestezik Ajanlar ve Otoakustik Emisyonlar. aktd. Eylül 2023;32(3):137-146. doi:10.17827/aktd.1190284