Safety and Complications of Sedation Anesthesia during Pediatric Auditory Brainstem Response Testing

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dc.contributor.authorUrfali, Senem
dc.contributor.authorUrfali, Boran
dc.contributor.authorSarac, Elif Tugba
dc.contributor.authorKoyuncu, Onur
dc.date.accessioned2024-09-18T20:54:08Z
dc.date.available2024-09-18T20:54:08Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: The auditory brainstem response (ABR) test has been widely used in childhood. Although it is a painless procedure, sedation can be needed in pediatric patients. Thus, this study aimed to evaluate safety and complications of sedation anesthesia applied in pediatric patients during ABR testing. Methods: Medical records of 75 children who underwent ABR testing between 2018 and 2020 were evaluated retrospectively in terms of applicability, safety, and complications of sedation anesthesia. Results: The ages ranged from 3 to 9 (mean 6.2) years. Comorbidity was detected in 20% (n = 15); 3 had multiple comorbidities, and the most common comorbidity was Down syndrome (4%). The drugs used in sedation anesthesia were midazolam in 81.3% (n = 61), a combination of propofol and ketamine in 14.7% (n = 11), and only propofol in 4% (n = 3) of the patients. An additional drug use was needed in 44% (n = 33). The mean procedure time was 40 (range 30-55) min. The mean anesthesia duration was 45 (range 35-60) min. The mean recovery time was 10 (range 5-15) min. Complications related to anesthesia developed in 4 (5.33%) of the patients; respiratory distress, agitation, cough, and nausea-vomiting were seen in one of the patients, respectively. Complications like bradycardia and respiratory or cardiac arrest were not seen at all. Conclusions: The complication rate of sedation anesthesia performed during ABR testing of pediatric patients is quite low. It may be more beneficial to use combinations of sedation drugs instead of using a single sedation drug. Although sedation anesthesia appears to be safe in general, the potentially life-threatening complications of sedative agents should be remembered, especially in children who have comorbidities.en_US
dc.identifier.doi10.1159/000517156
dc.identifier.endpage192en_US
dc.identifier.issn0301-1569
dc.identifier.issn1423-0275
dc.identifier.issue3en_US
dc.identifier.pmid34252904en_US
dc.identifier.scopus2-s2.0-85111623847en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage188en_US
dc.identifier.urihttps://doi.org/10.1159/000517156
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11609
dc.identifier.volume84en_US
dc.identifier.wosWOS:000673891500001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofOrl-Journal For Oto-Rhino-Laryngology Head and Neck Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPediatric patienten_US
dc.subjectAuditory brainstem response testen_US
dc.subjectKetamineen_US
dc.subjectPropofolen_US
dc.subjectMidazolamen_US
dc.subjectSedationen_US
dc.titleSafety and Complications of Sedation Anesthesia during Pediatric Auditory Brainstem Response Testingen_US
dc.typeArticleen_US

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