Sedating children in South Africa

  • Rebecca Gray University of Cape Town
  • James Roelofse University of the Western Cape


Regarding ‘Sedation for paediatric auditory electrophysiology in South Africa1 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.2–5 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. (Full text available online at South Afr J Anaesth Analg 2017; DOI: 10.1080/22201181.2017.1299496

Author Biographies

Rebecca Gray, University of Cape Town
Department of Anaesthesia and Perioperative Medicine University of Cape Town Cape Town; and Red Cross War Memorial Children’s Hospital Cape Town
James Roelofse, University of the Western Cape
Sedation and Pain Control University of the Western Cape Bellville; and Anaesthesiology University College London
Letters to the Editor