Comparison of total intravenous anesthesia [TIVA] with inhalation anesthesia in pediatric bronchoscopy

ABSTRACT

Because of airway stimulations during bronchoscopy and lack of direct access to the airway, preferred method of anesthesia for rigid bronchoscopy is already controversial. In this study we compared inhalation anesthesia with total intravenous anesthesia [TIVA] for rigid bronchoscopy. 30 patients aged 2-6 years were chosen divided into two same groups. Anesthesia in group I maintained with halothane and in group II maintained with remifentanil and propofol. Oxygenation, heart rate, respiratory rate, coughing, bucking, laryngospasm, bronchospasm were evaluated during and after surgery. Also operation success and surgeon's satisfaction were recorded as well. Demographic findings were the same in both groups. Oxygenation and heart rate were more stable in group II [P=0.047 and P=0.026 respectively] but there was no significant difference in respiratory rate between two groups [P=1]. Success rate was also similar in both groups but surgeon's satisfaction was significantly higher in TIVA [P=0.003]. There was not any significant different between complications in two groups. We suggest TIVA for rigid bronchoscopy because of better oxygenation, more homodynamic stability, surgeon's satisfaction, lack of air pollution and less interference with surgeon's visual field