Hearing Loss During Resuscitation

Audiovestibular Symptoms at the Intensive Care Unit: A Narrative Review

“…Audiovestibular symptoms present a challenge for intensive care physicians, otolaryngologists, and healthcare allies. Common mechanisms associated with hearing loss in in-patient scenarios include microemboli, perfusion abnormalities, hypercoagulability, and ototoxic drugs [18,26]. In addition to these, on the peri-intensive care period, several health practices may be involved in the pathogenesis of audiovestibular symptoms [27].…”

“…Five studies (one case report, one retrospective study, and three prospective studies) revealed hearing loss as one of the most common audiovestibular symptoms in patients at the intensive care unit [16,[18][19][20][21]. The age average of these studies was 50.5± 9.3 years.…”

“…The use of endotracheal, nasotracheal, and positive pressure face or nasal masks, would potentially compromise the function of eustachian tubes leading to ascending bacterial colonization, changes in the middle ear pressure, obstruction, and effusion in the middle ear, leading to conductive hearing loss [ 27 , 28 ]. Other healthcare practices may simulate conductive losses such as inadvertent earwax removal with drops, cleansing solutions, clotted blood, or foreign bodies [ 18 ]. Other conductive hearing losses documented at critical care units are tympanic membrane perforations and disruption of the ossicular chain associated with temporal bone fractures [ 27 , 28 ].…”

Audiovestibular Symptoms at the Intensive Care Unit: A Narrative Review

“…Audiovestibular symptoms present a challenge for intensive care physicians, otolaryngologists, and healthcare allies. Common mechanisms associated with hearing loss in in-patient scenarios include microemboli, perfusion abnormalities, hypercoagulability, and ototoxic drugs [18,26]. In addition to these, on the peri-intensive care period, several health practices may be involved in the pathogenesis of audiovestibular symptoms [27].…”

“…Five studies (one case report, one retrospective study, and three prospective studies) revealed hearing loss as one of the most common audiovestibular symptoms in patients at the intensive care unit [16,[18][19][20][21]. The age average of these studies was 50.5± 9.3 years.…”

“…The use of endotracheal, nasotracheal, and positive pressure face or nasal masks, would potentially compromise the function of eustachian tubes leading to ascending bacterial colonization, changes in the middle ear pressure, obstruction, and effusion in the middle ear, leading to conductive hearing loss [ 27 , 28 ]. Other healthcare practices may simulate conductive losses such as inadvertent earwax removal with drops, cleansing solutions, clotted blood, or foreign bodies [ 18 ]. Other conductive hearing losses documented at critical care units are tympanic membrane perforations and disruption of the ossicular chain associated with temporal bone fractures [ 27 , 28 ].…”

Sudden Sensorineural Hearing Loss after Lapaoscopic Sleeve Gastrectomy Under General Anaesthesia: A Case Report

“…Mechanic changes in middle ear pressure lead to damage of the tympanic membrane, of the round window, and of the conducting structures thus resulting in significant hearing loss [18][19][20]. This has been described as occurring during cardiopulmonary resuscitation.…”

“…During laparoscopy surgery there is an increased intra-abdominal pressure due to carbon dioxide insufflation (CO 2 ) that reduces the venous return to the heart, furthermore during laparoscopic sleeve gastrectomy (LSG) the anti-Trendelenburg position of the patient during operation can increase this condition. That may change arterial pressure and/or CSF pressure and that can be direct and indirectly conducted to ear structure causing its lesion[20][21][22][23]. According to Linares at al.…”

Audiovestibular Symptoms at the Intensive Care Unit: A Narrative Review

“…Audiovestibular symptoms present a challenge for intensive care physicians, otolaryngologists, and healthcare allies. Common mechanisms associated with hearing loss in in-patient scenarios include microemboli, perfusion abnormalities, hypercoagulability, and ototoxic drugs [18,26]. In addition to these, on the peri-intensive care period, several health practices may be involved in the pathogenesis of audiovestibular symptoms [27].…”

“…Five studies (one case report, one retrospective study, and three prospective studies) revealed hearing loss as one of the most common audiovestibular symptoms in patients at the intensive care unit [16,[18][19][20][21]. The age average of these studies was 50.5± 9.3 years.…”

“…The use of endotracheal, nasotracheal, and positive pressure face or nasal masks, would potentially compromise the function of eustachian tubes leading to ascending bacterial colonization, changes in the middle ear pressure, obstruction, and effusion in the middle ear, leading to conductive hearing loss [ 27 , 28 ]. Other healthcare practices may simulate conductive losses such as inadvertent earwax removal with drops, cleansing solutions, clotted blood, or foreign bodies [ 18 ]. Other conductive hearing losses documented at critical care units are tympanic membrane perforations and disruption of the ossicular chain associated with temporal bone fractures [ 27 , 28 ].…”

Sudden Sensorineural Hearing Loss after Lapaoscopic Sleeve Gastrectomy Under General Anaesthesia: A Case Report

“…Mechanic changes in middle ear pressure lead to damage of the tympanic membrane, of the round window, and of the conducting structures thus resulting in significant hearing loss [18][19][20]. This has been described as occurring during cardiopulmonary resuscitation.…”

“…During laparoscopy surgery there is an increased intra-abdominal pressure due to carbon dioxide insufflation (CO 2 ) that reduces the venous return to the heart, furthermore during laparoscopic sleeve gastrectomy (LSG) the anti-Trendelenburg position of the patient during operation can increase this condition. That may change arterial pressure and/or CSF pressure and that can be direct and indirectly conducted to ear structure causing its lesion[20][21][22][23]. According to Linares at al.…”

Audiovestibular Symptoms at the Intensive Care Unit: A Narrative Review

“…Audiovestibular symptoms present a challenge for intensive care physicians, otolaryngologists, and healthcare allies. Common mechanisms associated with hearing loss in in-patient scenarios include microemboli, perfusion abnormalities, hypercoagulability, and ototoxic drugs [18,26]. In addition to these, on the peri-intensive care period, several health practices may be involved in the pathogenesis of audiovestibular symptoms [27].…”

“…Five studies (one case report, one retrospective study, and three prospective studies) revealed hearing loss as one of the most common audiovestibular symptoms in patients at the intensive care unit [16,[18][19][20][21]. The age average of these studies was 50.5± 9.3 years.…”

“…The use of endotracheal, nasotracheal, and positive pressure face or nasal masks, would potentially compromise the function of eustachian tubes leading to ascending bacterial colonization, changes in the middle ear pressure, obstruction, and effusion in the middle ear, leading to conductive hearing loss [ 27 , 28 ]. Other healthcare practices may simulate conductive losses such as inadvertent earwax removal with drops, cleansing solutions, clotted blood, or foreign bodies [ 18 ]. Other conductive hearing losses documented at critical care units are tympanic membrane perforations and disruption of the ossicular chain associated with temporal bone fractures [ 27 , 28 ].…”

Sudden Sensorineural Hearing Loss after Lapaoscopic Sleeve Gastrectomy Under General Anaesthesia: A Case Report

“…Mechanic changes in middle ear pressure lead to damage of the tympanic membrane, of the round window, and of the conducting structures thus resulting in significant hearing loss [18][19][20]. This has been described as occurring during cardiopulmonary resuscitation.…”

“…During laparoscopy surgery there is an increased intra-abdominal pressure due to carbon dioxide insufflation (CO 2 ) that reduces the venous return to the heart, furthermore during laparoscopic sleeve gastrectomy (LSG) the anti-Trendelenburg position of the patient during operation can increase this condition. That may change arterial pressure and/or CSF pressure and that can be direct and indirectly conducted to ear structure causing its lesion[20][21][22][23]. According to Linares at al.…”