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Updated: Jan 1, 2026

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
Effect of Depth of Total Intravenous General Anesthesia on Intraoperative Electrically Evoked Compound Action
Ala A Alhowary1, Abdelwahab Aleshawi2, Obada Alali1
1Department of Anesthesiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid 21110, Jordan.
Purpose:
This study aims to compare the effect of the depth of total intravenous anesthesia (TIVA) on intraoperative electrically evoked compound action potential (e-ECAP) thresholds in cochlear implant operations.
Methods:
Prospectively, a total of 39 patients aged between 1 and 48 years who were scheduled to undergo cochlear implantation surgeries were enrolled in this study. Every patient received both light and deep TIVA during the cochlear implant surgery. The e-ECAP thresholds were obtained during the light and deep TIVA.
Results:
After comparing the e-ECAP means for each electrode (lead) between the light and deep anesthesia, no significant differences were detected between the light and deep anesthesia.
Conclusion:
The depth of TIVA may have no significant influence on the e-ECAP thresholds as there was no statistical difference between the light and deep anesthesia.
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