Recent advancements in total intravenous anaesthesia and anaesthetic pharmacology

Target-controlled infusion pumps and depth of anaesthesia monitors have made total intravenous anaesthesia (TIVA) easy, safe, and precise. The merits of TIVA were highlighted during the coronavirus disease 2019 (COVID-19) pandemic, confirming its potential further in the post-COVID clinical practice...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2023-01, Vol.67 (1), p.56-62
Main Authors: Bajwa, Sukhminder Jit Singh, Vinayagam, Stalin, Shinde, Surekha, Dalal, Shital, Vennel, Jessy, Nanda, Samridhi
Format: Article
Language:English
Subjects:
Alfentanil
anaesthesia
Anesthesia
Care and treatment
Dexmedetomidine
Drug targeting
Esmolol
Forecasts and trends
General anesthesia
Intravenous therapy
Pain
Pharmacokinetics
pharmacology
Postoperative care
propofol
Remifentanil
Special
Technology application
Venous access
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Summary:Target-controlled infusion pumps and depth of anaesthesia monitors have made total intravenous anaesthesia (TIVA) easy, safe, and precise. The merits of TIVA were highlighted during the coronavirus disease 2019 (COVID-19) pandemic, confirming its potential further in the post-COVID clinical practice as well. Ciprofol and remimazolam are newer drugs that are being tried with a hope to upgrade the practice of TIVA. While research on safe and effective drugs continues, TIVA is being practised with a combination of drugs and adjuncts to overcome the disadvantages of each and to provide complete and balanced anaesthesia with additional benefits in recovery and pain relief postoperatively. Modulation of TIVA for the special population groups is still under process. Advancement in digital technology with mobile apps has increased the scope of TIVA in day-to-day use. The formulation and update of guidelines can establish a safe and efficient practice of TIVA.
ISSN:0019-5049
0976-2817
DOI:10.4103/ija.ija_1022_22