Study of Efficacy of Anaesthesia With Propofol and Fentanyl for Rigid Bronchoscopy in Foreign Body Bronchus Removal in Children

Abstract

Anaesthesia for removal of foreign body bronchus by rigid bronchoscopy in children is a challenging procedure because it is difficult to maintain adequate ventilation and oxygenation in patients in whom pulmonary gas exchange is already reduced. The choice between spontaneous and controlled ventilation and type of drug used are still subjects of discussion. We report a study in five children of use of a technique of spontaneous ventilation using propofol with fentanyl, midzolam and sevoflurane without the use of muscle relaxant. In our study no side effects were seen in the study group. Spontaneous ventilation using propofol, fentanyl, midzolam and sevoflurane can be safely used in children for rigid bronchoscopy for foreign body bronchus removal.