Total Intravenous Anesthesia (Tiva)

Question 1

What is Tiva used to describe?

Answer 1

Use of an injectable agent (propofol or alfaxalone) and an opioid (fentanyl or remifentanyl) to maintain a state of general anesthesia. No inhalant is utilized.

Question 2

Who would benefit from Tiva?

Answer 2

Craniotomies with increased intracranial pressure
Critically ill patients where hypotension is significant with inhalant use
Surgical procedures or bronchoscopy of upper airway
Long term ventilator case
Uncontrolled seizure activity