Protocol for Rapid, Accurate, Electrophysiologic, Auditory Assessment of Infants and Toddlers: tutorial (Record no. 3302)
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fixed length control field | 02953nam a22001697a 4500 |
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control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20200219150739.0 |
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fixed length control field | 200219b ||||| |||| 00| 0 eng d |
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Transcribing agency | National Acoustics Laboratories |
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Title | Protocol for Rapid, Accurate, Electrophysiologic, Auditory Assessment of Infants and Toddlers: tutorial |
520 3# - SUMMARY, ETC. | |
Summary, etc | Background: Audiologists often lack confidence in results produced by current protocols for diagnostic<br/>electrophysiologic testing of infants. This leads to repeat testing appointments and slow protocols which<br/>extend the time needed to complete the testing and consequently delay fitting of amplification. A recent<br/>publication (Sininger et al, 2018) has shown how new technologies can be applied to electrophysiologic<br/>testing systems to improve confidence in results and allow faster test protocols. Average test times for<br/>complete audiogram predictions when using new technologies and protocols were found to be just over<br/>32 minutes using auditory brainstem response (ABR) and just under 20 minutes using auditory steadystate<br/>response (ASSR) technology.<br/>Purpose: The purpose of this manuscript is to provide details of expedited test protocols for infant and<br/>toddler diagnostic electrophysiologic testing.<br/>Summary: Several new technologies and their role in test speed and confidence are described including<br/>CE-Chirp stimuli, automated detection of ABRs using a technique called FMP, Bayesian weighting which is<br/>an alternative to standard artifact rejection and Next-Generation ASSR with improved response detection<br/>and chirp stimuli. The test protocol has the following features: (1) preliminary testing includes impedance<br/>measures and otoacoustic emissions, (2) starting test levels are based on Broad-Band CE-Chirp thresholds<br/>in each ear, (3) ABRs or ASSRs are considered present based on automated detection rather than<br/>on replication of responses, (4) number of test levels is minimized, (5) ASSR generally evaluates four<br/>frequencies in each ear simultaneously with flexibility to change all test levels independently.<br/>Conclusions: Combining new technologies with common-sense strategies has been shown to substantially<br/>reduce test times for predicting audiometric thresholds in infants and toddlers (Sininger et al, 2018).<br/>Details and rationales for changing test strategies and protocols are given and case examples are used to<br/>illustrate. |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name as entry element | audiology, auditory, auditory brainstem response, auditory steady-state response, auditory threshold, Bayesian weighting, CE-chirp, distortion-product otoacoustic emissions, evoked potentials |
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Personal name | Yvonne S. Sininger |
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Relationship information | 1–15 (2019) |
Title | J Am Acad Audiology |
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Uniform Resource Identifier | <a href="https://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/1031/Protocol%20for%20Rapid%2c%20Accurate%2c%20Electrophysiologic%2c%20Auditory%20Assessment%20of%20Infants%20and%20Toddlers.pdf?sequence=1&isAllowed=y">https://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/1031/Protocol%20for%20Rapid%2c%20Accurate%2c%20Electrophysiologic%2c%20Auditory%20Assessment%20of%20Infants%20and%20Toddlers.pdf?sequence=1&isAllowed=y</a> |
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Source of classification or shelving scheme | Universal Decimal Classification |
Koha item type | Journal article |
No items available.