| Title: |
'Pediatric ABR testing without sedation. It is possible.' |
| Track: |
2-Audiological Assessment and Intervention
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| Audience: |
Primary Audience:
Audiologist
Secondary Audience:
Hospital/Birthing Center<
Tertiary Audeince:
Early Intervention Provider
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| Keyword(s): |
ABR, failed UNHS, non sedated |
| Learning Objectives: |
Will be able to describe how the Vivosonic Integrity allows ABR testing on awake children.
Will be able to state the potential impact use of this system can have on the success rate of follow-up testing on children that failed their newborn hearing screen.
Will be able to state how to successfully present a business rational to justify purchase of the equipment. |
Abstract: |
Pediatric ABR testing can be challenging. The Vivosonic Integrity ABR system allows pediatric ABR testing without sedation. Children’s Hospital of Wisconsin was experiencing a 4-6 month wait for sedated ABR testing which was negatively impacting our ability to provide early identification and intervention for patients. Following a one month trial use of the equipment in the clinic, a business rationale was developed to justify the purchase of a unit using contingency funds in November 2008. An overview of the equipment will be presented. Data on the number patients tested, success rate and impact on our UNHS will be shared. To date the equipment has been used successfully on 99 patients with test results successfully obtained on 90 or 90%. 52 or 52% of the tests have been on children under the age of 12 months that arrived awake to the clinic for follow-up on failed newborn hearing screens. All 52 were seen successfully with results being obtained. This prevented return visits and possible sedations. The system has improved our ability to provide services in the clinic, operating room, day surgery, bedside and NICU. Data will be presented showing we have reduced our wait time for sedated ABR testing from 5-6 months to 1-4 weeks, improved patient safety by eliminating the need for 90 sedations, improved patient/parent satisfaction, and reduced the need for follow-up appointments for failed newborn hearing screenings that arrive awake for testing. Case studies showing the ability to diagnose normal hearing sensitivity, hearing loss and Auditory Neuropathy Spectrum disorder will be shared. Benefits and limitations (there are limitations) of the equipment and impact on audiology will be discussed honestly from a clinical standpoint. Improved ABR technology can have a great impact on the ability to provide quality audiology services to the pediatric population. |
| Presentation(s): |
Not Available
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| Handouts: |
Not Available
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