Safe and effective anaesthesia during paediatric rigid bronchoscopy: An experience at a tertiary care centre of Eastern India

Abstract

AbstractObjectivePaediatric rigid bronchoscopy is always a challenging situation for anaesthetist and surgeon. Maintaining adequate ventilation and oxygenation is difficult as pulmonary gas exchange is reduced due to obstruction of airway by foreign body (FB). This study evaluates safe and effective anaesthesia during paediatric rigid bronchoscopy.Study designA retrospective study.MethodsWe report a study of nine children who had undergone rigid bronchoscopy by use of spontaneous ventilation with fentanyl, propofol, dexamethasone, midazolam and sevoflurane without the use of muscle relaxant.ResultsFentanyl, propofol, dexamethasone, midazolam and sevoflurane can be safely used in paediatric rigid bronchoscopy. No side effects are seen during and after the procedure.ConclusionSpontaneous ventilation is usually the preferred method where propofol is combined with midazolam, fentanyl, dexamethasone and sevoflurane for safe and effective anaesthesia in children for rigid bronchoscopy