Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.
Introduction; 1. Why bother? The advantages of TIVA Michael Irwin and Gordon Wong; 2. You say 'PK' and I say 'No way!', you say 'Keo' and I say 'Time to go!': pharmacokinetics for TIVA Frank Engbers and Michael Irwin; 3. TIVA and TCI, what a good idea! Gavin Kenny; 4. Milk of amnesia: propofol for TIVA Kane O. Pryor and Paul S. Myles; 5. A catwalk with a difference. What distinguishes these TIVA models? Lim Thiam Aun; 6. Let's get it started: the know-hows and the no-hows of setting up TIVA Michael Irwin and Gordon Wong; 7. Let's get pumped: programming tips and tricks for TIVA Nigel J. Huggins; 8. But I'm used to MAC! Getting the dose right for TIVA Nicholas Peter Sutcliffe; 9. Be aware, unaware and confusion everywhere: TIVA and awareness Pablo Martinez-Vasquez, Claus Linder, Umberto Melia, Jaideep J. Panditt and Erik Weber Jensen; 10. Do you want fries with that? The role and effects of adjuvant medications in TIVA Vivian Man Ying Yuen; 11. Intraoperative and post-operative analgesia for TIVA Talmage Egan, Byron Bankhead and Greg Smith; 12. Wakey wakey! Smooth recovery from TIVA Anthony R. Absalom and Peter van der Mast; 13. Under pressure: TIVA in emergencies Anup Biswas; 14. Ankle biters: how to use TIVA in children Brian Anderson and James Houghton; 15. The old timers: how to use TIVA in the elderly Luis Torres; 16. Big can be beautiful! How to use TIVA in the obese Luis Ignacio Cortinez, Brian Anderson and Gordon Wong; 17. Bun in the over: How to use TIVA in obstetrics Pamela Flood and Jessica Ansari; 18. Saving the whales: the environmental impact of TIVA Vincent Kong; 19. TIVA drugs for sedation Stefan Schraag; 20. Skiing off-piste and other assorted goodies: advanced TIVA Gordon Wong and Michael Irwin; Index.
Michael Irwin is the Daniel C. K. Yu Professor and Head of the Department of Anaesthesiology, The University of Hong Kong. Gordon T. C. Wong is a Clinical Associate Professor at the Department of Anaesthesiology, The University of Hong Kong. Shuk Wan Lam is a Clinical Associate Professor at the Department of Anaesthesiology, The University of Hong Kong.
