Regarding 'Sedation for paediatric auditory electrophysiology in
South Africa' 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. Several closed claims analyses and
numerous reviews have recognised that paediatric sedation, in
particular, is associated with an increased morbidity and mortality.
As the authors indicate, there is increasing pressure from
practitioners, funders and patients or parents for procedures to
take place outside the operating room; the age limit at which this is
deemed acceptable is being pushed lower and lower. In addition,
the complexity and length of these procedures is increasing.