“…They justify their stand on the grounds that it is fiscally unsound to subsidize a nurse to monitor each child and that cost is always a consideration. While accentuating the need for enhanced safety of sedated children, Malvyia and coworkers 30 and Cote 31 argue that it is morally irresponsible not to monitor each child and, if this cannot be done in a certain institution, it is ethical to advise the patients and their families to undergo the procedure elsewhere.…”