Table 3

Techniques to ensure adequate ventilation during anaesthesia for paediatric flexible bronchoscopy

TechniqueAdvantagesDisadvantages
FacemaskInspect entire airwayProbably the most technically
Assess airway dynamics/malaciachallenging for the anaesthetist
Does not limit size of bronchoscopeLaryngospasm may be a problem
Nasopharyngeal prongEasy to pass tubePossibly less good upper airway access
Inspect most of upper airwayLaryngospasm in spontaneously
Assess airway dynamics/malaciaventilating child
Does not limit size of bronchoscope
Laryngeal maskEasy to position maskAirway control suboptimal
Cannot assess upper airway
Cannot assess vocal cord movement
May limit size of bronchoscope
Endotracheal intubationSecure airwayCannot assess airway dynamics/malacia
Deep anaesthesia safeCannot assess upper airway
Easy and quick to re-pass Cannot assess vocal cord movement
bronchoscope if necessaryMay limit size of bronchoscope