Total intravenous anaesthesia
Anesthesia technique using intravenous drugs
Total intravenous anaesthesia (TIVA) is a method of inducing and maintaining general anesthesia exclusively through the administration of intravenous drugs, without the use of inhalation agents. This technique is often employed in various surgical procedures and is known for its ability to provide a stable and controlled anesthetic state.
Technique
TIVA involves the continuous infusion of anesthetic drugs through an infusion pump. The most commonly used drugs in TIVA include propofol, remifentanil, and other opioids. These drugs are administered in a carefully controlled manner to maintain the desired depth of anesthesia.
The administration of TIVA requires precise monitoring of the patient's physiological parameters, including heart rate, blood pressure, and oxygen saturation. An important aspect of TIVA is the use of bispectral index (BIS) monitoring or other forms of electroencephalography (EEG) to assess the depth of anesthesia.
Advantages
TIVA offers several advantages over traditional inhalation anesthesia. It provides a more predictable and rapid recovery, as the drugs used have a short half-life and are quickly metabolized. This can lead to reduced postoperative nausea and vomiting, which is a common side effect of inhalation agents.
Additionally, TIVA is beneficial in patients with a history of malignant hyperthermia, a rare but serious reaction to certain anesthetic gases. Since TIVA does not use inhalation agents, it eliminates the risk of triggering this condition.
Disadvantages
Despite its benefits, TIVA also has some disadvantages. The technique requires sophisticated equipment and careful monitoring, which can increase the complexity and cost of anesthesia management. Furthermore, the lack of inhalation agents means that there is no direct measurement of anesthetic concentration, making it crucial to rely on indirect measures such as BIS monitoring.
Applications
TIVA is widely used in various surgical settings, including day surgery, neurosurgery, and cardiac surgery. It is particularly useful in procedures where rapid recovery and minimal postoperative side effects are desired.
Related pages
Transform your life with W8MD's budget GLP-1 injections from $125.
W8MD offers a medical weight loss program to lose weight in Philadelphia. Our physician-supervised medical weight loss provides:
- Most insurances accepted or discounted self-pay rates. We will obtain insurance prior authorizations if needed.
- Generic GLP1 weight loss injections from $125 for the starting dose.
- Also offer prescription weight loss medications including Phentermine, Qsymia, Diethylpropion, Contrave etc.
NYC weight loss doctor appointments
Start your NYC weight loss journey today at our NYC medical weight loss and Philadelphia medical weight loss clinics.
- Call 718-946-5500 to lose weight in NYC or for medical weight loss in Philadelphia 215-676-2334.
- Tags:NYC medical weight loss, Philadelphia lose weight Zepbound NYC, Budget GLP1 weight loss injections, Wegovy Philadelphia, Wegovy NYC, Philadelphia medical weight loss, Brookly weight loss and Wegovy NYC
WikiMD's Wellness Encyclopedia |
Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.
Contributors: Prab R. Tumpati, MD