Associate Professor, Sri Lakshminarayana institute of medical sciences, Puducherry, India.
Inhalation Anesthesia ,Total Intravenous Anesthesia ,Pediatric Bronchoscopy ,

Gustave Kilian utilised rigorous bronchoscopy for the first time in the 19th century to retrieve a foreign body from the right major bronchus. This was done on an awake patient who was not given any anaesthetic. Then cocaine was given to help with the surgery, and now rigid bronchoscopy is done with an aesthetic of foreign bodies, management of large hemoptysis, control of external pressure on the tracheobronchial tree, and laser therapy of benign tracheal and bronchial strictures (e.g., Post tracheal stenosis) are all indications for rigid bronchoscopy. However, the most common reason for rigid bronchoscopy in children is the removal of a foreign body. Rapid induction, minimal homodynamic instability, adequate ventilation and oxygenation, suppression of coughing, adequate maxillary and glottis relaxation for rapid placement of rigid bronchoscope, and safe reversal with minimal postoperative complications are the main principles for optimal anesthesia for rigid bronchoscopy. The aim of this study is to focus on complications, success of pediatric bronchoscopy, and surgeon satisfaction, we compare them. Because of the interference with the surgeon's vision with inhalation anesthesia, there was no significant difference in the final bronchoscopy results between the two groups in our trial. However, when compared to group I, the surgeon satisfaction rate in group II was much higher due to various factors such as greater vision field, muscular relaxation, and lack of disagreeable odor.

8 , 3 , 2018