Abstract
Objective : Bronchoscopy is a diagnostic procedure. Due to lack of cooperation of children, pediatric bronchoscopy is necessarily accompanied by anesthesia. The most prevailing method of anesthesia in children is inhaled anesthesia, but since duration of anesthesia is long and there is involuntary respiration in this method, the amount of dispersed gas is high. The objective of this review is comparing inhaled anesthesia with sevoflurane and intravenous anesthetics with propofol in children under flexible bronchoscopy, in order to do a more appropriate and safe bronchoscopy and also to improve recovery after general anesthesia in children. Methodology : 80 children under the age of 10 who were going under flexible bronchoscopy, were randomly divided into two groups of 40 individuals. For anesthesia of one group inhaled sevoflurane was given, and for the second group intravenous propofol was given; then in both groups changes in blood pressure, heart rate, O2 saturation t, and recovery time were recorded and compared. Findings : There is no significant difference in three times measurement of both anesthetics. In other words the average blood pressure shows no difference after anesthesia, start of bronchoscopy, and end of bronchoscopy in both anesthetics (P-value=0.771). Moreover, no significant difference was observed in three times measurement of both anesthetics. This means that the average heart rate shows no difference after anesthesia, start of bronchoscopy, and end of bronchoscopy in both anesthetics. Furthermore, the average o2sat is different after anesthesia, start of bronchoscopy, and end of bronchoscopy in both anesthetics (P-value>0.001).
Highlights
The term anesthesia was first proposed by Oliver Wendell Holmes (Haridas, 2016) on the basis of its Greek root meaning “no sense” to William Morton in 1846 (Morton, 1846)
There is no significant difference between three times of measurement in the two kinds of anesthetics
Blood pressure mean shows no difference after anesthesia, in the beginning of bronchoscopy and in the end of bronchoscopy (P-value=0.771)
Summary
The term anesthesia was first proposed by Oliver Wendell Holmes (Haridas, 2016) on the basis of its Greek root meaning “no sense” to William Morton in 1846 (Morton, 1846). Anesthesia is losing sense of pain or perception during a surgery. Anesthesia is classified into local, regional or general forms, and may vary depending on type of surgery and health conditions of the specific person (Bakan et al, 2014). General anesthesia may produce all effects of analgesia, sedation, and forgetfulness; its ultimate goal is to attain conditions in which surgical procedure is done in the best possible way with minimum risk. This goal is achieved through various but connected functions of medicines on nervous system of patient. The drowsiness impact of medication is created by affecting the central nervous system cells and activating state of sleep for the patient (Chen et al, 2016; Damian et al, 2019)
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