PEDIATRICS Vol. 103 No. 1 January 1999, pp. 198
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To the Editor.
As an anesthesiologist, a pediatric intensive care physician,
but most of all as a Fellow of the American Academy of Pediatrics (AAP), I read with great interest the article by Lowrie et
al1 that appeared in the September 1998 issue of
Pediatrics electronic pages. I certainly hope that the
publication of this article represents an attempt by
Pediatrics and the AAP to initiate a controversy and bring
to light questionable and unsafe practices in the sedation of children,
rather than an endorsement of an institutional practice that violates
the standards established by the AAP,2 the American
Society of Anesthesiologists,3 and many if not all state
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