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Related Experiment Videos

Methods of sedation for auditory brainstem response testing

D S Reich1, B J Wiatrak

  • 1Division of Otolaryngology, Children's Hospital of Alabama, University of Alabama at Birmingham 35233, USA.

International Journal of Pediatric Otorhinolaryngology
|December 20, 1996
PubMed
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Sedation for auditory brainstem response (ABR) testing in children lacks standardized methods. A study found 50 mg/kg chloral hydrate is safe and effective in an outpatient setting, proving more cost-effective than operating room procedures.

Area of Science:

  • Pediatric Audiology
  • Neuroscience
  • Clinical Pharmacology

Background:

  • Sedation is often necessary for auditory brainstem response (ABR) testing in young children and individuals with cognitive impairments.
  • Current practices for sedation during ABR testing lack standardization regarding pharmacotherapy, monitoring, facilities, and personnel.
  • There is a need to establish safe, effective, and cost-efficient sedation protocols for ABR testing.

Purpose of the Study:

  • To survey current national practices for sedation during ABR testing in children's hospitals.
  • To prospectively evaluate the safety and efficacy of oral chloral hydrate for ABR sedation.
  • To compare the cost-effectiveness of performing ABR testing in outpatient settings versus the operating room.

Main Methods:

Related Experiment Videos

  • A national survey was distributed to 149 free-standing children's hospitals in the US.
  • A prospective study administered 50 mg/kg oral chloral hydrate for sedation in an outpatient ABR testing setting.
  • Continuous monitoring of vital signs, skin color, and oxygen saturation was performed during sedation.

    • Main Results:

    • Survey results revealed significant variability in sedation administration and reported complications across institutions.
    • The administration of 50 mg/kg chloral hydrate in an outpatient setting was found to be safe and effective.
    • Performing ABR testing in a monitored outpatient suite is more cost-effective than conducting it in an operating room.

    Conclusions:

    • Standardized sedation protocols are needed for pediatric ABR testing.
    • Oral chloral hydrate at 50 mg/kg is a safe and effective option for sedating children for ABR testing.
    • Outpatient ABR testing with sedation offers a more cost-effective alternative to operating room procedures.