Evaluation of the Newborn Hearing Screening Test Applied in a Secondary Center

Özet

Objective: It was aimed to assess the protocols and results of scanning tests retrospectively done at Afyon Zubeyde Hanim Gynecology and Pediatrics Hospital, Audiometric Scanning DepartmentMethods: In this study 23.396 scanning tests of the babies between 0-6 months and born on 01.04.2010-31.01.2014 are analyzed retrospectively. Completely healthy newborn babies were included in the study. Babies with congenital anomalies, those diagnosed with syndrome and premature babies were not included in the study. Audiometric scanning is assessed in two steps by Otoacoustic Emissions method (T-OAE). The first scanning is applied to the newborns before they are discharged from the hospital.Results: 23.396 babies are assessed by the T-OAE method in Zübeyde Hanım Maternity and Children Hospital between the dates; April, 2010-January, 2014. At the end of the two-step method T-OAE, 572 babies are sent to the reference centre. Out of these babies 37 (0.15%) portion is found to have two-sided and 2 (0.008%) is found to have one-sided sensorineural hearing loss.Conclusion: In our country with the increase in audiometric scanning the number of babies having treatment has increased. In this study also the hearing loss doubt found at new born babies is at a proportion not less than the other studies relatively.Key words: Hearing loss, newborn, screening program

Abstract

Objective: While there are suggestions for oral hydration times after general anesthesia, there is no published study with regard to sedation. The aim of this prospective study was to determine a safe time for oral intake after pediatric sedation and its association with nausea and vomiting after discharge.Methods: A total of 180 children (aged 1 month to 13 years) sedated for magnetic resonance imaging were randomly assigned into three groups. All patients fasted for 6 hours and were allowed to take clear fluids until 2 hours before sedation with thiopental (3 mg/kg). After the patients were transported to the recovery room, we allowed the patients to drink as much clear fluids as they wanted prior to discharge in group I, 1 hour after the patients met the discharge criteria for group II, and 2 hours after the patients met the discharge criteria for group III. All patients were assessed for vomiting in the recovery room until 1 hour after their first oral hydration. The parents were then telephoned the next day and questioned regarding nausea/vomiting and any unanticipated hospital admission.Results: There were no statistically significant intergroup differences with respect to age, sex, weight, or the ASA status. There was no nausea and vomiting in either the recovery or post discharge period in any group. In the telephone questionnaire, no hospital admissions were reported.Conclusion: Oral hydration just before discharge is safe, and fasting children after discharge for a period of time is unnecessary for patients sedated with thiopental.Key words: Sedation, oral intake, postoperative nausea and vomiting