geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Hearing loss in critical care: an unappreciated phenomenon


, : Hearing loss in critical care: an unappreciated phenomenon. Critical Care Medicine 27(1): 211-219

The objectives of this article are to review the physiology of hearing; identify acute pathologic and perceived causes of hearing loss in the adult critically ill patient; and to discuss its evaluation, treatment, and prevention. Computerized bibliographic search of MEDLINE from 1966 to the present of all relevant articles in all languages on acute hearing loss in the adult population. Data gathered from studies and reports of acute hearing loss as relates or potentially relates to the peri-intensive care unit (ICU) period. Hearing loss is an infrequent but potentially serious complication associated with critical illness. The causes of hearing loss in the ICU patient include mechanical or accidental trauma, administration of ototoxic medications, local or systemic infections, vascular and hematologic disorders, autoimmune diseases, and environmental noise. Patients who are elderly, have coexisting liver or renal failure, or who are receiving concomitantly administered ototoxic drugs are particularly at risk for developing hearing loss. A thorough assessment of potential causes of hearing loss and audiological examination should be undertaken on all ICU patients suspected of hearing loss. Mechanical, pharmacologic, and environmental strategies are available to decrease the incidence of hearing loss in this patient population. Hearing loss should be recognized as a potential clinical problem by intensivists. Its causes should be identified and appropriate evaluation and therapy initiated. High risk populations should be identified for preventive measures.

US$29.90

PMID: 9934918


Other references

Rose, Pa, 1984: How computerised record keeping can help the propagator. Combined proceedings International Plant Propagators' Societyub 1984) 33(33): 190-193

Long, P.H., 1961: The problem of foreign medical graduates. II. Let's do something about it!. Medical Times 89: 525-528

Irander, K.; Hellquist, H.B.; Edling, C.; Odkvist, L.M., 1980: Upper airway problems in industrial workers exposed to oil mist. Exposure to oil mist used in metal work sometimes gives symptoms from skin and airways. This study was performed to evaluate histological and functional respiratory tract disorders. Six male lathe workers aged 31-64 years exposed to oil mist for 4...

Dietzen, C.J.; Lloyd, L.K., 1992: Complications of intracavernous injections and penile prostheses in spinal cord injured men. Erectile dysfunction is a common complication in men who have had spinal cord injury (SCI). This retrospective study focuses on the complications encountered at our institution with both penile prostheses and intracavernous injections in men with...

Olech, E., 1955: Fracture lines in mandible; comparison of radiographic and anatomic findings. Oral Surgery, Oral Medicine, and Oral Pathology 8(6): 582-590

Altabet Mark A.; Curry William B., 1989: Testing models of past ocean chemistry using foraminifera (super 15) N/ (super 14) N. Global Biogeochemical Cycles: Pages 107-119. 1989.

Sastry, C.S.; Naidu, P.Y., 2008: Determination of pentoxifylline in pharmaceutical formulations using iodine as oxidizing agent. Simple, selective and sensitive spectrophotometric methods are described for the determination of pentoxifylline, based on the haloform reaction with a known and excess of standard iodine solution under alkaline conditions. The excess of iodine is...

Schulz, V.B.; Michaelis, D.; Neumann, I.; Hildmann, W.; Ziegler, M.; Jutzi, E., 1975: Comparison between the oral glucose tolerance test and the glucose infusion test in the characterization of protodiabetes. Within 3 days the 2-hour glucose infusion test (GIT) and the 50gm oral glucose tolerance test (oGTT) were performed in 113 normal weight and 33 obese persons suspected to protodiabetes and in 14 control subjects respectively. The results are compa...

Becker, K.F.; Reich, U.; Handschuh, G.; Dalke, C.; Höfler, H., 1996: Non-radioactive protein truncation test (nrPTT) for rapid detection of gene mutations. Trends in Genetics 12(7): 250-250

Adhikari, S., 2002: Distribution of different forms of copper in freshwater pond soils of Orissa, India. The distribution of native copper fractions in freshwater pond soils of Orissa, India, and their relationship to important soil properties were studied. Total Cu and diethylene triamine penta acetic acid (DTPA) extractable Cu ranged 7.0-24.0 and 2...