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INTRAVENOUS ANAESTHESIA
(TIVA)
Dr Fauzia Minai
Department of Anaesthesia AKUH
Course : 6
Year : 2008
Language : English
Country : Pakistan
City : Karachi
Weight : 167 kb
Related text : no
http://www.feea.net
Objectives of this session
• To facilitate those who wish to practice TIVA
• Review some of the basic principles of
TIVA
• Discuss the choice of drugs & technique
• Discuss its feasability of TIVA practice in a
developing country like Pakistan
Focus of this presentation
Introduction and Definition
Rationale for using TIVA
What is important to know before giving
TIVA
Drugs used in TIVA
Delivery systems for TIVA
Monitoring in TIVA
Application in developing countries
Introduction
Availability of
• Rapid short acting, easily titratable
intravenous hypnotic, analgesic and muscle
relaxant drugs
Cost
Availability of the most suitable drugs and
delivery systems
No reliable technique for monitoring plasma
concentration of drugs equivalent to ET
inhalational agent monitoring
Increased risk of awareness specially with
concurrent use of muscle relaxants
Contd……
Patient evaluation
Procedure specifications
Basic pharmacological actions and interaction
of the drugs used
• Membrane stabilisation
• Anticonvulsant
Disadvantages
• Pain on injection
• Allergic reactions
• Bacterial growth
How is TIVA delivered?
B = Loading dose
E = terminal elimination
T = transfer to peripheral compartment
OPEN LOOP SYSTEM
Anesthesia 2004;14:374-379.