{"title":"Total intravenous anaesthesia","authors":"Liam Sheppard, James Barrowman","doi":"10.1016/j.mpaic.2024.09.002","DOIUrl":null,"url":null,"abstract":"<div><div>Total intravenous anaesthesia (TIVA) is the induction and maintenance of general anaesthesia exclusively via intravenous anaesthetic agents. TIVA provides an anaesthetic alternative when inhalational agents are relatively or absolutely contraindicated and is also used in a number of practical situations where delivery of inhalational anaesthetic is not feasible, such as during patient transfers. It is essential that all anaesthetists understand the pharmacokinetic principles involved with TIVA and are confident in their ability to deliver TIVA safely. This article describes the key pharmacokinetic principles and models used for TIVA, practical and safety aspects during its use, and paediatric TIVA.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 12","pages":"Pages 850-855"},"PeriodicalIF":0.2000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924001930","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Total intravenous anaesthesia (TIVA) is the induction and maintenance of general anaesthesia exclusively via intravenous anaesthetic agents. TIVA provides an anaesthetic alternative when inhalational agents are relatively or absolutely contraindicated and is also used in a number of practical situations where delivery of inhalational anaesthetic is not feasible, such as during patient transfers. It is essential that all anaesthetists understand the pharmacokinetic principles involved with TIVA and are confident in their ability to deliver TIVA safely. This article describes the key pharmacokinetic principles and models used for TIVA, practical and safety aspects during its use, and paediatric TIVA.
期刊介绍：
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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