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Introduction to Using Total Intravenous Anaesthesia (TIVA)

Build the knowledge and confidence to safely incorporate TIVA into your everyday clinical practice.

image of an automated intravenous anaesthesia delivery machine
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Grow your understanding of TIVA techniques and how to use them

Total intravenous anaesthesia (TIVA) has several increasingly obvious advantages over inhalation techniques. Traditional anaesthesia teaching, however, is skewed towards inhalation.

This medical course from Hong Kong University will dispel myths and misunderstandings about TIVA and will help you translate theoretical knowledge of using TIVA into your everyday practice.

Explore the pharmacokinetics of common drugs used for TIVA

There are many advantages of TIVA. From ease of use and safety to affordability and availability of both the drugs and equipment, recent developments in TIVA have made it more of a suitable option for administering anaesthetic.

On this course, you’ll look at the psychological and social factors that have created a behavioural barrier for the TIVA technique. You’ll then delve into the proprietary pharmacokinetic models, as well as the pharmacokinetics of the different drugs used for TIVA.

Discover analgesia for TIVA and how to ensure a smooth recovery

Ensuring a smooth recovery from TIVA is vital for many reasons. This course will guide you through intra-operative and postoperative analgesia for TIVA to help you improve the recovery process following anaesthesia.

Then, to broaden your understanding of this practice and better inform your decisions, you’ll dive into the environmental impact of anaesthesia.

Learn from the experts at LKS Faculty of Medicine

HKUMed is the longest established institution of higher education in Hong Kong and consistently ranks as one of the top three universities in Asia for clinical, pre-clinical, and health subjects.

As a well-known pioneer in medical education, training, and research, the LKS Faculty of Medicine at the University of Hong Kong is perfectly placed to guide you through using TIVA.

Syllabus

  • Week 1

    Barriers and Advantages of TIVA

    • Course Welcome

      Thank you for enrolling in our course. We look forward to guiding you on your educational journey as you learn more about TIVA

    • Resistance to Change and Barriers

      Resistance to change is human nature and in order to embrace change, it is necessary to leave our comfort zone. We look at the factors that may influence this and specifically the barriers to the widespread uptake of TIVA.

    • Advantages of TIVA

      TIVA has many advantages from better recovery profiles to potentially improved outcomes in patients undergoing cancer surgery.

  • Week 2

    TIVA, TCI & Models

    • TIVA, TCI & Models

      This week we will look at the differences between manual and target-controlled infusions. In addition to covering some of the most popular models available on the market.

    • Pharmacokinetics of Intravenous Anaesthetics

      Pharmacology plays a central role in anaesthesia. Despite our vast clinical experience, pharmacokinetics can be intimidating. This week we will cover the basic components that will enhance your ability to deliver TIVA safely.

    • TCI Infusions

      TCI incorporates complex pharmacokinetic models with multiple covariates, to represent diverse patient populations, along with features such as effect site and plasma site to allow the safe delivery of TIVA.

    • TCI Models

      Which TCI model should I use? This week we will discuss the benefits and limitations of the commercially available models.

  • Week 3

    TIVA Dosing and Depth of Anaesthesia

    • TIVA dosing and depth of Anaesthesia

      This week will look at the effective concentration of propofol required in the general population and basics of using depth of anaesthesia monitors.

    • Introduction to TIVA Dosing

      Join us to learn how to use propofol TCI pumps for induction, maintenance and recovery of anaesthesia.

    • Depth of Anaesthesia Monitoring

      Depth of anaesthesia monitoring is a useful too that can aid us in titrating anaesthesia and potentially reduce the risk of underdosing and overdosing of anaesthesia.

    • Quiz

      Quiz

  • Week 4

    Adjuncts and Analgesia

    • Adjuncts and Analgesia

      This week we will outline some typical analgesic adjuncts used in propofol-based anaesthesia as well as options for perioperative analgesia.

    • TIVA and the role of supplementary drugs

      Using TIVA with adjuncts

    • Preventive Analgesia Strategies

      Preventive or pre-emptive multimodal analgesia can help maximise the benefit of TIVA.

    • Quiz

      Let us end this module with a quiz. The following questions will be based on the material covered earlier this week.

  • Week 5

    Smooth Recovery and Sedation

    • Smooth Recovery and Sedation

      This week we describe how to improve the quality of your patient's recovery profile as well as the role of TIVA in sedation or monitored anaesthesia care

    • Smooth Recovery

      TIVA is associated with a smoother recovery profile. High-quality emergence relies on the understanding and interplay of multiple factors. Join us this week to learn more.

    • Procedural Sedation

      TIVA for procedural sedation

  • Week 6

    Special Patient Cohorts

    • The Obstetric Patient and TIVA

      Dr Rosemarie Kearsley, Consultant Anaesthesiologist at the Rotunda Hospital, Ireland explains all you need to know to get started to deliver TIVA for obstetric general anaesthesia.

    • The Elderly Patient and TIVA

      Dr Claire Frith-Keyes, Consultant Anaesthesiologist Tallaght University Hospital (previously UCL), explains how to deliver TIVA to our ageing population. Her special interests include perioperative medicine and clinical education

    • The Obese Patient and TIVA

      Obesity is a global epidemic and the problem is increasing despite various actions and campaigns to address this issue. TIVA offers a number of potential advantages for patients living with obesity.

    • Emergency Surgery and TIVA

      Dr Tom Emms joins our team of educators as we walk through the use of TIVA in the emergency setting. After completion, we hope you will be more confident in delivering the benefits of TIVA for emergency surgery.

    • Special Patient Cohorts

      This week we take a look at the different patient cohorts we may encounter in theatre.

  • Week 7

    Green Anaesthesia

    • Green Anaesthesia

      This week we outline the problem of global warming and how our choices as anaesthetist can impact the carbon footprint we leave

    • Global Warming

      Healthcare systems across the world contribute to large amounts of their countries greenhouse gases. A conscientious effort should be made by healthcare providers to reduce energy consumption and lower greenhouse gas emissions.

    • Final assessment and course close

      Final assessment upon course completion. This assessment incorporates the learning material from the 7 previous weeks.

When would you like to start?

Start straight away and join a global classroom of learners. If the course hasn’t started yet you’ll see the future date listed below.

  • Available now

Learning on this course

On every step of the course you can meet other learners, share your ideas and join in with active discussions in the comments.

What will you achieve?

By the end of the course, you‘ll be able to...

  • Identify the barriers to the widespread uptake of TIVA and improve the understanding of the potenial benefits to the patient
  • Compare TIVA, TCI and various commonly used models.
  • Calculate TIVA dosing and interpret depth of anaeshesia monitoring
  • Evaluate the role of adjuncts in TIVA
  • Discuss the different elements of a smooth recovery from TIVA and different methods of sedation
  • Develop the different skills to provide TIVA for special patient cohort
  • Explore the impact of anaesthesia on the environment and the ecological benefit of TIVA

Who is the course for?

This course is designed for medical professionals who are either new to TIVA or who are occasional practitioners.

Who has recognised this course?

This course is recognised by:

  • College of Anaesthesiologists of Ireland has recognised this course as equivalent to 14 CPD points.
The College of Anaesthesiologists of Ireland approval of this event for CPD does not imply accreditation of the event or the providers, or a participating doctors’ competence

What software or tools do you need?

Recommended textbook to supplement learning. Taking on TIVA: Debunking Myths and Dispelling Misunderstandings Irwin M, Wong G & Lam S. (2019). Cambridge: Cambridge University Press.

Who will you learn with?

MB ChB MD FRCA FCAI FANZCA FHKAM
Daniel CK Yu Professor in the Department of Anaesthesiology, Hong Kong University
Editor of Anaesthesia, Perioperative Medicine, Expert Opinion on Pharmacology

MB BCh BAO FCAI EDRA EDIC
Consultant Anaesthesiologist Tallaght University Hospital
Associate Editor Anaesthesia

Who developed the course?

LKS Faculty of Medicine Hong Kong University

The Medical Faculty of Hong Kong University focuses on innovative research, impactful clinical services and advocates for healthcare advancement. It has become a global hub of clinical excellence.

In collaboration with

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