• Hamid R Djalilian, Saswata Roy, Aaron G Benson, Christopher Regala, Timothy B McDonald, and Tina Leman.
• Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois, USA. skullbasesurgery@yahoo.com
• Otol. Neurotol. 2005 Jul 1;26(4):674-7.

ObjectiveGiven the associated risk of general anesthesia in elderly patients with cardiovascular disease, the authors set out to determine the feasibility of transcanal cochlear implantation under local anesthesia with monitored anesthesia care.MethodsA 70-year-old man with a history of coronary artery bypass grafting, diabetes mellitus, and an American Society of Anesthesiologists Class III cardiac status underwent cochlear implantation under local with monitored anesthesia care.ResultWith the described technique and regimen of intravenous remifentanil and dexmedetomidine, the patient tolerated the 60-minute procedure without tachycardia, hyper- or hypotension, or cardiac ischemia.ConclusionCochlear implantation using the pericanal electrode technique performed under local anesthesia with monitored anesthesia care is possible in patients at risk for undergoing general anesthesia for cochlear implantation.

22 keywords...

hide…