Inhalational Anaesthesia Versus Total Intravenous Anaesthesia During a Rigid Bronchoscopy in Paediatrics
Iraqi Postgraduate Medical Journal,
2014, Volume 13, Issue 4, Pages 504-508
General anaesthesia is routinely used for rigid bronchoscopy in paediatrics for different causes. Both methods of anaesthesia were used inhalational and total intravenous anaesthesia (TIVA).
Is to compare inhalational anaesthesia with total intravenous anaesthesia (TIVA) for rigid bronchoscopy in paediatric age group in regard to the heart rate, oxygen saturation, coughing, bucking, laryngeal spasm and bronchospasm.
PATIENT AND METHOD:
Thirty patients aged 2-6 years were chosen, divided randomly in two groups. In group I ( inhalational anaesthesia) consisted of 15 patients and the anaesthesia was maintained with halothane while in group II use (total intravenous anaesthesia) TIVA was consist of 15 patients and anaesthesia was inducd and maintained with remifentanyl and propofol. The heart rate, oxygen saturation, coughing, laryngeal spasm and bronchospasm were evaluated during and after the procedure.
Blood oxygenation and Heart rate were more stable in group II (P=0.045 and P=0.024 respectively). There were slightly less cough and bucking in group II as compare with group I.
TIVA is a good choice of anaesthesia during rigid bronchoscopy because of a good and stable level of blood oxygenation and heart rate. Coughing, bucking, laryngeal spasm and bronchospasm were less in TIVA group compare with inhalational group.
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