TIVA Flashcards
General Anesthesia effects
Unconsciousness
Immobility
Antinociception
Muscle relaxation
Inhalation Anesthesia
anesthesia is maintained using an inhalational agent
TIVA
Total Intravenous Anesthesia - anesthesia is maintained using only intravenous agents
PIVA
Partial Intravenous Anesthesia - Anesthesia is maintained using both intravenous and inhalational agents
Balanced Anesthesia
a combination of techniques
CRI
constant rate infusion
Classical drug administration
give half of the calculated dose slowly iv then top it up with small boluses to effect
Bolus dosing drug administration
give only small boluses up to effect as needed. a single bolus is not expected to be “harmful”
Ideal agent for TIVA
short acting stable and short context sensitivities half-life does not have active metabolite has a wide therapeutic window provides smooth recovery
Components of TIVA
Anesthetic
Analgesics
Adjuvants
Adjuvants
aid muscle relaxation