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Methods of sedation for auditory brainstem response testing.
Int J Pediatr Otorhinolaryngol 1996; 38(2):131-41IJ

Abstract

Young children and those who are mentally impaired frequently require sedation to attain accurate results when testing for auditory brainstem response (ABR). There have been no previous studies of appropriate methods of sedation, and there is no consensus on pharmacotherapy, monitoring equipment, facilities, or personnel necessary for safe and effective ABR testing. To obtain a national census of current practice, we sent a survey to 149 free-standing children's hospitals in the US. A prospective study was also conducted to assess the effects of sedation utilized to perform ABR testing at The Children's Hospital of Alabama. Oral chloral hydrate (50 mg/kg) was administered for sedation in an outpatient setting with a registered nurse and audiologist present, while vital signs, skin color, and oxygen saturation were continuously monitored. The cost of testing in an audiology or other outpatient suite was compared with the cost of performing the study in the operating room. Results of the survey illustrated the present lack of national uniformity in sedation administered, as well as various problems and complications encountered with such testing. We found that 50 mg/kg chloral hydrate administered in this setting is safe and effective for children requiring sedation for audiologic testing. Further, the ability to perform ABR's in an outpatient suite in a monitored setting is more cost-effective than testing in the operating room.

Authors+Show Affiliations

Division of Otolaryngology, Children's Hospital of Alabama, University of Alabama at Birmingham 35233, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9119601

Citation

Reich, D S., and B J. Wiatrak. "Methods of Sedation for Auditory Brainstem Response Testing." International Journal of Pediatric Otorhinolaryngology, vol. 38, no. 2, 1996, pp. 131-41.
Reich DS, Wiatrak BJ. Methods of sedation for auditory brainstem response testing. Int J Pediatr Otorhinolaryngol. 1996;38(2):131-41.
Reich, D. S., & Wiatrak, B. J. (1996). Methods of sedation for auditory brainstem response testing. International Journal of Pediatric Otorhinolaryngology, 38(2), pp. 131-41.
Reich DS, Wiatrak BJ. Methods of Sedation for Auditory Brainstem Response Testing. Int J Pediatr Otorhinolaryngol. 1996 Dec 20;38(2):131-41. PubMed PMID: 9119601.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Methods of sedation for auditory brainstem response testing. AU - Reich,D S, AU - Wiatrak,B J, PY - 1996/12/20/pubmed PY - 1996/12/20/medline PY - 1996/12/20/entrez SP - 131 EP - 41 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 38 IS - 2 N2 - Young children and those who are mentally impaired frequently require sedation to attain accurate results when testing for auditory brainstem response (ABR). There have been no previous studies of appropriate methods of sedation, and there is no consensus on pharmacotherapy, monitoring equipment, facilities, or personnel necessary for safe and effective ABR testing. To obtain a national census of current practice, we sent a survey to 149 free-standing children's hospitals in the US. A prospective study was also conducted to assess the effects of sedation utilized to perform ABR testing at The Children's Hospital of Alabama. Oral chloral hydrate (50 mg/kg) was administered for sedation in an outpatient setting with a registered nurse and audiologist present, while vital signs, skin color, and oxygen saturation were continuously monitored. The cost of testing in an audiology or other outpatient suite was compared with the cost of performing the study in the operating room. Results of the survey illustrated the present lack of national uniformity in sedation administered, as well as various problems and complications encountered with such testing. We found that 50 mg/kg chloral hydrate administered in this setting is safe and effective for children requiring sedation for audiologic testing. Further, the ability to perform ABR's in an outpatient suite in a monitored setting is more cost-effective than testing in the operating room. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/9119601/Methods_of_sedation_for_auditory_brainstem_response_testing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165587696014322 DB - PRIME DP - Unbound Medicine ER -