Taking on TIVA: Debunking Myths and Dispelling MisunderstandingsMichael G. Irwin, Gordon T. C. Wong, Shuk Wan Lam Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique. |
Contents
4 | 22 |
5 | 31 |
6 | 40 |
7 | 46 |
8 | 52 |
9 | 63 |
11 | 73 |
TIVA | 80 |
TIVA | 95 |
Surgery | 106 |
Elderly | 124 |
Obese | 132 |
Obstetrics | 139 |
vi | 162 |
Other editions - View all
Taking on TIVA: Debunking Myths and Dispelling Misunderstandings Michael G. Irwin,Gordon T. C. Wong,Shuk Wan Lam No preview available - 2019 |
Common terms and phrases
achieve action activity administration adults agents allow Anaesth anaesthesia anaesthetic anaesthetist analgesia analgesic Anesthesiology associated awareness benefits blood body bolus brain calculated cause central changes Chapter clearance clinical combination compartment concentration consciousness considered constant decrease decrement depending described dexmedetomidine dose drug duration effect effect-site concentration elderly estimated et al fentanyl Figure given half-life higher important increase induction influence infusion infusion rate inhalational initial intravenous less lower maintain Marsh measured minutes monitoring obese operative opioid pain parameter patients peak performance pharmacodynamics pharmacokinetics plasma possible post-operative potential practice predicted pressure prevent procedure propofol pump rapid reasonable receptor recovery reduced remifentanil reported response result risk Schnider sedation shows similar studies surgery surgical target concentration technique tion titration TIVA usually values volume weight