Paediatric airway surgery recipe

e.g. laryngo-tracheo-bronchoscopy

Standard induction (IV or gas)

Maintenance using TIVA:

  • propofol 400 -> 300 -> 100 mcg/kg/min
  • remi 0.2 – 0.1 mcg/kg/min


  • Use to judge adequate depth of anaesthesia
  • insert nasal uncuffed (standard) ETT to level just proximal to cords
  • Spray larynx/cords/distally – take max allowed dose of lignocaine 10%, dilute to make up to desired volume, spray using MAD/atomiser


  • Aim for spontaneous ventilation of oxygen enriched air while applying PEEP with bag
  • Can hand ventilate if mouth is closed (but risks insufflation of stomach)

Emergence of spontaneously breathing patient with NPA

– KP @ LRI

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