To Evaluate The Clinical Efficacy of Total Intravenous Anaesthesia in Paediatric Laparoscopic Surgery- Prospective, Randomized, Control Trial

ABSTRACT

Background:Although the role of TIVA has been well described in adult patients but there remains the paucity of such data in paediatric patients for laparoscopic surgeries and moreover the physiological implications of abdominal insufflations are not well documented in paediatric literature and cannot be simply extrapolated from adult data. Methods: 50 ASA grade I/II patients of either sex in the age group of 1 to 12 years, who underwent elective laparoscopic surgeries were divided in two group, total intravenous anaesthesia (Group T) and inhalation anaesthesia (Group G). Variables studied were hemodynamic variables (Heart rate, systolic and diastolic blood pressure), Respiratory parameters (change in EtCO2, Peak inspiratory pressure), Postoperative recovery profile (Agitation, Postoperative nausea and vomiting, Pain), Surgeon’s satisfaction score. Results & Conclusion: TIVA with propofol and sufentanil as compared to inhalational anesthesia with Isoflurane and N2O in paediatric laparoscopic surgery provides better haemodynamic stability, lesser incidence of emergence agitation, short recovery time in PACU, better surgeon satisfaction score. But, it doesn’t have much influence on postoperative nausea vomiting and postoperative pain.