Thakur, SunilBhandari, ShyamBhadoria, PoonamChittraKohli, AmitKaushal, Sushuriti2019-12-062019-12-062018-11Thakur Sunil, Bhandari Shyam, Bhadoria Poonam, Chittra, Kohli Amit, Kaushal Sushuriti. To Evaluate The Clinical Efficacy of Total Intravenous Anaesthesia in Paediatric Laparoscopic Surgery- Prospective, Randomized, Control Trial. Annals of International medical and Dental Research. 2018 Nov; 4(11): 21-242395-28222395-2814http://imsear.searo.who.int/handle/123456789/188436Background:Although the role of TIVA has been well described in adult patients but there remains the paucity of such data in paediatric patients for laparoscopic surgeries and moreover the physiological implications of abdominal insufflations are not well documented in paediatric literature and cannot be simply extrapolated from adult data. Methods: 50 ASA grade I/II patients of either sex in the age group of 1 to 12 years, who underwent elective laparoscopic surgeries were divided in two group, total intravenous anaesthesia (Group T) and inhalation anaesthesia (Group G). Variables studied were hemodynamic variables (Heart rate, systolic and diastolic blood pressure), Respiratory parameters (change in EtCO2, Peak inspiratory pressure), Postoperative recovery profile (Agitation, Postoperative nausea and vomiting, Pain), Surgeon’s satisfaction score. Results & Conclusion: TIVA with propofol and sufentanil as compared to inhalational anesthesia with Isoflurane and N2O in paediatric laparoscopic surgery provides better haemodynamic stability, lesser incidence of emergence agitation, short recovery time in PACU, better surgeon satisfaction score. But, it doesn’t have much influence on postoperative nausea vomiting and postoperative pain.Journal ArticleIndiaAssistant Professsor, Department of Anaesthesia, Shri Lal Bahadur Shastri Government Medical College, Mandi (H.P.).Assistant Professsor, Department of Anaesthesia, DR RPGMC Kangra at Tanda (HP).Director Professor, Department of Anaesthesiology and critical care, Maulana Azad medical College, New Delhi.Consultant Anaesthesiologist, Fortis Hospital, Kangra (HP).Associate Professor, Department of Anaesthesiology and critical care, Maulana Azad medical College, New Delhi.Assistant Professor, Department of Anaesthesia, Shri Lal Bahadur Shastri Government Medical College, Mandi (H.P.).