Course: Introduction to Using Total Intravenous Anaesthesia (TIVA)

Week 4 Adjuncts and Analgesia The goals of general anaesthesia vary slightly according to the surgery but are widely accepted as unconsciousness with amnesia and analgesia. Propofol is a potent …

Drug dosing in the obese Dependent on the properties of the drug Fat-soluble drugs Larger volume of distribution (more adipose tissue) Accumulate in the peripheral compartments Especially in the context …

Week 3 TIVA dosing and depth of Anaesthesia Dr Eric Chung, Associate Consultant at Prince of Wales Hospital, describes the intricacies of TIVA dosing and depth of anaesthesia monitors. This …

Week 2 TIVA, TCI & Models This week we are delighted to be joined by Dr Vivienne Yu, Chief of Service of the Hong Kong Children’s hospital. With her expertise …

Cardiovascular Physiology ↑ Blood volume, ↑ Systolic volume ↑ Cardiac output Presents as Ischaemic heart disease obesity is an independent risk factor for ischaemic heart disease Hypertension ↑ Extracellular volume …

Inhalational Anaesthetic Agents and Carrier Gases Gases used in everyday clinical anaesthetic practice can negatively impact the environment by increasing the concentration of greenhouse gases (GHGs) +/- depleting the ozone …

Welcome An introduction to Using TIVA We are really excited to have you join our community of learners as we discover more about TIVA. TIVA has several increasingly obvious advantages …

Carbon Footprint Total emission of GHG caused directly and indirectly by a person, organisation, event or product Measured in terms of tonnes of CO2 5% of the carbon footprint for …

Chronological and Physiological Age Aging leads to a deterioration in physiological function in all systems A linear increase in the incidence and number of co-morbidities is seen with age Chronological …

Standard reversal At the end of the surgery, the volatile agent is turned off and high fresh gas flow is used to wash out the volatile agent TIVA reversal Quoted …

Standard induction During standard induction, we give a bolus of a short-acting opioid and propofol, usually dosed according to body weight After assessing loss of consciousness (LOC), we will administer …

TIVA for Emergency Surgery Relatively few studies have looked at TIVA use in the emergency setting TIVA can be adapted to provide anaesthesia in emergency settings even for high-risk patients …

Emergency Surgery Rapid Sequence Induction (RSI), or a modified version of it, is frequently used to intubate the trachea in emergency situations Generally, it includes Denitrogenation by pulmonary pre-oxygenation Administering …

Decrement time Estimate of the time course of the decline of plasma or effect site concentration after drug administration is stopped Determined by three simultaneous exponential processes Rapid transfer from …

TIVA’s recovery profile Associated with a pleasant and smooth nature of emergence from general anaesthesia Multifactorial anaesthetic plan needs to be both patient and procedure specific Procedure specific Neurosurgery: prevention …