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Anesth Analg 1990; 70:517-522
© 1990 International Anesthesia Research Society
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Hearing Loss After Spinal Anesthesia Is Related to Needle Size

Johannes Fog, MD, Lars P. Wang, MD, Albert Sundberg, PhD, MD, and Carlo Mucchiano, MD

Department of Anesthesia, Eksjö-Nässjö Hospital, Eksjö, Sweden.

Abstract

Audiograms were performed preoperatively and 2 days postoperatively in 28 patients given spinal anesthesia for transurethral resection of the prostate. In 14 patients 22-gauge and in 14 patients 26-gauge spinal needles were used. Hearing loss of 10 dB or more at any frequency was observed in 13 of 14 patients in the 22-gauge group and in 4 of 14 patients in the 26-gauge group. There was a statistically significant reduction in hearing level in the low-frequency range in patients in whom the 22-gauge needle was used. Hearing loss was unilateral at five frequencies and bilateral at one frequency.

No cases of postspinal headache occurred. Audiometry may be a more sensitive indication of cerebrospinal fluid leak than postspinal headache.

Key Words: ANESTHETIC TECHNIQUES, SPINAL • EAR, HEARING—spinal anesthesia




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 1990 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1990 by the International Anesthesia Research Society.