Cochlear implants have resulted in effective treatment of hearing loss in children. It is mainly associated with minimal surgical complications. As this occurs at a very early age, most are associated with congenital anomalies and other defects and syndromes which should also be taken into consideration. Anxiety reduction also plays a major role. The anesthetic technique should be able to provide a bloodless field and do not affect the cochlear implant. Postoperative complications like postoperative nausea and vomiting are common.
Eckenhoff JE. Some anatomic considerations of the infant larynx influencing endotracheal anaesthesia. Anestheiology 1951;12(4):401–410. DOI: 10.1097/00000542-195107000-00001.
Selby IR, Rigg JD, Faragher B, et al. The incidence of minor sequelae following anaesthesia in children. Paediatr Anaesthesiol 1996;6(4):293. DOI: 10.1111/j.1460-9592.1996.tb00453.x.
Bonoli P, Grillone G, Fossa S, et al. Complications of pediatric anesthesia. Survey carried out by the study group SIAARTI for anaesthesia and intensive therapy in children. Minerva Anestesiol 1995;61(4):115.
Bajwa SJ, Jindal R, Kaur J, et al. Psychiatric diseases: need for an increased awareness among the anaesthesiologists. J Anaesthesiol Clin Pharmacol 2011;27(4):440–446. DOI: 10.4103/0970-9185. 86572.
Gordon K, Papsin BC, Harrison RV. Programming cochlear implant stimulation levels in infants and children with a combination of objective measures. Int J Audiol 2004;43:S28–S32.
Bajwa S, Bajwa S, Kaur J, et al. Palonosetron: a novel approach to control postoperative nausea and vomiting in day care surgery. Saudi J Anaesth 2011;5(1):19–24. DOI: 10.4103/1658-354X.76484.
Czarnecki ML, Ferrise AS, Jastrowski Mano KE, et al. Parent/nurse-controlled analgesia for children with developmental delay. Clin J Pain 2008;24(9):817–824. DOI: 10.1097/AJP.0b013e3181773b69.
Czarnecki ML, Salamon KS, Jastrowski Mano KE, et al. A preliminary report of parent/nurse-controlled analgesia (PNCA) in infants and preschoolers. Clin J Pain 2011;27(2):102–107. DOI: 10.1097/AJP.0b013e3181f0972c.
Bajwa SJ, Gupta S, Kaur J, et al. Reduction in the incidence of shivering with perioperative dexmedetimidine: a randomized prospective study. J Anaesthesiol Clin Pharmacol 2012;28(1):86–91. DOI: 10.4103/0970-9185.92452.
Chakrabarthy A, Tarneja VK, Singh Adm VK, et al. Cochlear implant: anaesthesia challenges. Armed Forces Med J India 2004;60(4):351–356. DOI: 10.1016/S0377-1237(04)80009-1.