Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-26T04:23:55.763Z Has data issue: false hasContentIssue false

Chapter 12 - Wakey Wakey!

Smooth Recovery from TIVA

Published online by Cambridge University Press:  18 November 2019

Michael G. Irwin
Affiliation:
The University of Hong Kong
Gordon T. C. Wong
Affiliation:
The University of Hong Kong
Shuk Wan Lam
Affiliation:
The University of Hong Kong
Get access

Summary

The use of TIVA is associated with some additional workload for the anaesthetist, particularly before the start of the anaesthetic when all the necessary equipment must be found and assembled, drugs should be drawn up and checked, and infusion pumps programmed. This extra effort compared with the preparation required for inhalational anaesthesia is considered by many to be worthwhile for many reasons, one of which is the pleasant and smooth nature of the recovery.

Type
Chapter
Information
Taking on TIVA
Debunking Myths and Dispelling Misunderstandings
, pp. 95 - 105
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Pandit, J.J., Andrade, J., Bogod, D.G., et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Br J Anaesth 2014; 113: 540–8.Google Scholar
Sun, Y., Lu, Y., Huang, Y., Jiang, H.. Is dexmedetomidine superior to midazolam as a premedication in children? A meta-analysis of randomized controlled trials. Paediatr Anaesth 2014; 24: 863–74.CrossRefGoogle ScholarPubMed
Lim, B.L., Low, T.C.. Total intravenous anaesthesia versus inhalational anaesthesia for dental day surgery. Anaesth Intensive Care 1992; 20: 475–8.CrossRefGoogle ScholarPubMed
Jacob, Z., Li, H., Makaryus, R., et al. Metabolomic profiling of children’s brains undergoing general anesthesia with sevoflurane and propofol. Anesthesiology 2012; 117: 1062–71.CrossRefGoogle ScholarPubMed
Hartung, J.. Twenty-four of twenty-seven studies show a greater incidence of emesis associated with nitrous oxide than with alternative anesthetics. Anesth Analg 1996; 83: 114–16.CrossRefGoogle ScholarPubMed
Raeder, J., Gupta, A., Pedersen, F.M.. Recovery characteristics of sevoflurane- or propofol-based anaesthesia for day-care surgery. Acta Anaesthesiol Scand 1997; 41: 988–94.CrossRefGoogle ScholarPubMed
Orkin, F.K.. What do patients want? Preferences for immediate postoperative recovery. Anesth Analg 1992; 74: S225.Google Scholar
Kranke, P., Morin, A.M., Roewer, N., Wulf, H., Eberhart, L.H.. The efficacy and safety of transdermal scopolamine for the prevention of postoperative nausea and vomiting: a quantitative systematic review. Anesth Analg 2002; 95: 133–43.CrossRefGoogle ScholarPubMed
Borgeat, A., Wilder-Smith, O.H., Saiah, M., Rifat, K.. Subhypnotic doses of propofol possess direct antiemetic properties. Anesth Analg 1992; 74: 539–41.CrossRefGoogle ScholarPubMed
Smith, I., Thwaites, A.J.. Target-controlled propofol vs. sevoflurane: a double-blind, randomised comparison in day-case anaesthesia. Anaesthesia 1999; 54: 745–52.CrossRefGoogle ScholarPubMed
Gan, T.J., Glass, P.S., Windsor, A., et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology 1997; 87: 808–15.CrossRefGoogle ScholarPubMed
Bannister, C.F., Brosius, K.K., Sigl, J.C., Meyer, B.J., Sebel, P.S.. The effect of bispectral index monitoring on anesthetic use and recovery in children anesthetized with sevoflurane in nitrous oxide. Anesth Analg 2001; 92: 877–81.CrossRefGoogle ScholarPubMed
Wong, J., Song, D., Blanshard, H., Grady, D., Chung, F.. Titration of isoflurane using BIS index improves early recovery of elderly patients undergoing orthopedic surgeries. Can J Anaesth 2002; 49: 1318.CrossRefGoogle ScholarPubMed
White, P.F., Ma, H., Tang, J., Wender, R.H., Sloninsky, A., Kariger, R.. Does the use of electroencephalographic bispectral index or auditory evoked potential index monitoring facilitate recovery after desflurane anesthesia in the ambulatory setting? Anesthesiology 2004; 100: 811–17.CrossRefGoogle ScholarPubMed
Liu, S.S.. Effects of Bispectral Index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology 2004; 101: 311–15.CrossRefGoogle ScholarPubMed
Avidan, M.S., Zhang, L., Burnside, B.A., et al. Anesthesia awareness and the bispectral index. N Engl J Med 2008; 358: 1097–108.CrossRefGoogle ScholarPubMed
Avidan, M.S., Jacobsohn, E., Glick, D., et al. Prevention of intraoperative awareness in a high-risk surgical population. N Engl J Med 2011; 365: 591600.CrossRefGoogle Scholar
Mashour, G.A., Shanks, A., Tremper, K.K., et al. Prevention of intraoperative awareness with explicit recall in an unselected surgical population: a randomized comparative effectiveness trial. Anesthesiology 2012; 117: 717–25.CrossRefGoogle Scholar
Scott, H.B., Choi, S.W., Wong, G.T., Irwin, M.G.. The effect of remifentanil on propofol requirements to achieve loss of response to command vs. loss of response to pain. Anaesthesia 2017; 72: 479–87.CrossRefGoogle ScholarPubMed
Struys, M.M., Vereecke, H., Moerman, A., et al. Ability of the bispectral index, autoregressive modelling with exogenous input-derived auditory evoked potentials, and predicted propofol concentrations to measure patient responsiveness during anesthesia with propofol and remifentanil. Anesthesiology 2003; 99: 802–12.CrossRefGoogle ScholarPubMed
Vuyk, J., Mertens, M.J., Olofsen, E., Burm, A.G., Bovill, J.G.. Propofol anesthesia and rational opioid selection: determination of optimal EC50–EC95 propofol–opioid concentrations that assure adequate anesthesia and a rapid return of consciousness. Anesthesiology 1997; 87: 1549–62.Google Scholar
Mertens, M.J., Olofsen, E., Engbers, F.H., Burm, A.G., Bovill, J.G., Vuyk, J.. Propofol reduces perioperative remifentanil requirements in a synergistic manner: response surface modeling of perioperative remifentanil–propofol interactions. Anesthesiology 2003; 99: 347–59.CrossRefGoogle Scholar
Shafer, S.L., Stanski, D.R.. Improving the clinical utility of anesthetic drug pharmacokinetics. Anesthesiology 1992; 76: 327–30.CrossRefGoogle ScholarPubMed
Schnider, T.W., Minto, C.F.. Predictors of onset and offset of drug effect. Eur J Anaesthesiol Suppl 2001; 23: 2631.CrossRefGoogle ScholarPubMed
Friedman, E.B., Sun, Y., Moore, J.T., et al. A conserved behavioral state barrier impedes transitions between anesthetic-induced unconsciousness and wakefulness: evidence for neural inertia. PLoS One 2010; 5: e11903.CrossRefGoogle ScholarPubMed
Kuizenga, M.H., Colin, P.J., Reyntjens, K., et al. Test of neural inertia in humans during general anaesthesia. Br J Anaesth 2018; 120: 525–36.CrossRefGoogle ScholarPubMed
Sepulveda, P.O., Carrasco, E., Tapia, L.F., et al. Evidence of hysteresis in propofol pharmacodynamics. Anaesthesia 2018; 73: 40–8.CrossRefGoogle ScholarPubMed
Engbers, F.. Is unconsciousness simply the reverse of consciousness? Anaesthesia 2018; 73: 69.CrossRefGoogle ScholarPubMed
Veyckemans, F., Anderson, B.J., Wolf, A.R., Allegaert, K.. Intravenous paracetamol dosage in the neonate and small infant. Br J Anaesth 2014; 112: 380–1.CrossRefGoogle ScholarPubMed
Munoz, H.R., Guerrero, M.E., Brandes, V., Cortinez, L.I.. Effect of timing of morphine administration during remifentanil-based anaesthesia on early recovery from anaesthesia and postoperative pain. Br J Anaesth 2002; 88: 814–18.CrossRefGoogle ScholarPubMed
Yu, E.H., Tran, D.H., Lam, S.W., Irwin, M.G.. Remifentanil tolerance and hyperalgesia: short-term gain, long-term pain? Anaesthesia 2016; 71: 1347–62.CrossRefGoogle ScholarPubMed
White, P.F.. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg 2005; 101: S522.CrossRefGoogle ScholarPubMed
Apfel, C.C., Laara, E., Koivuranta, M., Greim, C.A., Roewer, N.. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology 1999; 91: 693700.CrossRefGoogle ScholarPubMed
Leslie, K., Skrzypek, H., Paech, M.J., Kurowski, I., Whybrow, T.. Dreaming during anesthesia and anesthetic depth in elective surgery patients: a prospective cohort study. Anesthesiology 2007; 106: 3342.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×