Sedation for paediatric auditory electrophysiology in South Africa

Abstract

Background:The sedation of children in the medical and allied professional fields has been a topic of controversy and debate internationally. Limited information is available on the use of sedation for auditory electrophysiology testing in South Africa. Objectives: The aim of this study was to determine how sedation information is recorded in electrophysiology audiology reports where diagnostic electrophysiology testing was used, and to obtain baseline information on sedation procedures and medications used during diagnostic electrophysiology testing. Methods: Audiology reports of 169 children undergoing auditory electrophysiology testing were reviewed for sedation information. Conclusion: Sedation data is not clearly documented and the use of medical or anaesthetist monitoring during sedation is not routinely included in reports. Sedation medication is varied and does not always include medications listed as safe for use with the paediatric population. This places doubt on procedures and protocols as well as the safety mechanisms in place for auditory diagnostic testing of children in South Africa.

SASA paediatric guidelines for the safe use of procedural sedation and analgesia for diagnostic and therapeutic procedures in children: 2021–2026

“…trimeprazine and droperidol, and midazolam and propofol) are also used by SPs. 16 These authors provide a comprehensive list of sedative drugs that could be considered. Monitoring of the children during sedation is extremely important.…”

Sedating children in South Africa

“…Dear Sir, Regarding 'Sedation for paediatric auditory electrophysiology in South Africa 1 we thank the authors for publishing their research thereby giving us documentary proof of what we know to be widespread practice. Sedation has, for many years, been poorly documented and not subject to the standards in respect of monitoring, medications administered, staff ratios and clinical governance that is its due.…”