Total intravenous anesthesia and spontaneous respiration for airway endoscopy in children – a prospective evaluation

Introduction:  Inhalational anesthesia with spontaneous respiration is traditionally used to facilitate airway endoscopy in children. The potential difficulties in maintaining adequate depth of anesthesia using inhalational anesthesia and the anesthetic pollution of the surgical environment are significant disadvantages of this technique. We report our institutional experience using total intravenous anesthesia (TIVA) and spontaneous respiration.

[1]  Tiantian Zhang,et al.  The Risk Factors for Hypoxemia in Children Younger than 5 Years Old Undergoing Rigid Bronchoscopy for Foreign Body Removal , 2009, Anesthesia and analgesia.

[2]  G. Friedrich,et al.  Airway management and anesthesia in neonates, infants and children during endolaryngotracheal surgery , 2007, Paediatric anaesthesia.

[3]  Claudia Y Venable,et al.  Smith???s Anesthesia for Infants and Children, 7th ed. , 2006 .

[4]  T. Erb,et al.  Respiratory Reflex Responses of the Larynx Differ between Sevoflurane and Propofol in Pediatric Patients , 2005, Anesthesiology.

[5]  M. Crawford,et al.  Dose-Response of Remifentanil for Tracheal Intubation in Infants , 2005, Anesthesia and analgesia.

[6]  J. Berkenbosch,et al.  Use of a remifentanil–propofol mixture for pediatric flexible fiberoptic bronchoscopy sedation , 2004, Paediatric anaesthesia.

[7]  J. Werkhaven.  Microlaryngoscopy‐airway management with anaesthetic techniques for CO2 laser , 2004, Paediatric anaesthesia.

[8]  P. Farrell.  Rigid bronchoscopy for foreign body removal: anaesthesia and ventilation , 2004, Paediatric anaesthesia.

[9]  Rajeshwari Subramanium,et al.  Anesthesia for removal of inhaled foreign bodies in children , 2002, Paediatric anaesthesia.

[10]  F. Servin,et al.  Target-Controlled Versus Manually-Controlled Infusion of Propofol for Direct Laryngoscopy and Bronchoscopy , 2002, Anesthesia and analgesia.

[11]  B. Bissonnette,et al.  Pediatric Anesthesia: Principles and Practice , 2001 .

[12]  R. Litman,et al.  Anesthesia for tracheal or bronchial foreign body removal in children: an analysis of ninety-four cases. , 2000, Anesthesia and analgesia.

[13]  G. Amicucci,et al.  Remifentanil vs. fentanyl during interventional rigid bronchoscopy under general anaesthesia and spontaneous assisted ventilation. , 1999, European journal of anaesthesiology.

[14]  Peter J. Davis,et al.  Smith's Anesthesia For Infants And Children , 1996 .

[15]  J. Lerman,et al.  A Practice of Anesthesia for Infants and Children , 2019, A Practice of Anesthesia for Infants and Children.

[16]  W. Mushin.  Anæsthesia for Ear, Nose and Throat Surgery , 1946, Proceedings of the Royal Society of Medicine.