Comparison of spontaneous with controlled mode of ventilation in tonsillectomy

Fauzia A. Khan, Ghulam Asghar Memon

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Methods: This randomized study compares spontaneous versus controlled ventilation in 60 ASA I and II patients undergoing tonsillectomy as regards haemodynamic stability, recovery characteristics, intra- and immediate postoperative complications and surgical impressions. Results: The patients in the balanced anaesthesia (B) group showed less haemodynamic variability compared to baseline after tracheal intubation, mouth gag application and removal and incision. Two patients had dysrhythmias in the B group compared to six in the spontaneous breathing (S) group. Six patients in the S group had a rise in endtidal carbon dioxide concentration above 7.8 kPa (60 mmHg). Recovery scores were higher in the B group at 10 and 20 min into recovery. The surgical impression of bleeding and jaw relaxation was similar with both groups. The incidence of postoperative nausea and vomiting and agitation was higher in the S group but did not achieve statistical significance. Conclusions: Use of balanced anaesthesia offered more haemodynamic stability and a rapid recovery.

Original languageEnglish
Pages (from-to)185-190
Number of pages6
JournalPaediatric Anaesthesia
Issue number2
Publication statusPublished - 2001
Externally publishedYes


  • Anaesthesia: ear, nose, throat
  • Surgery: adenotonsillectomy


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