TIVA for Neuroanaesthesia

Curriculum Reference

15.9.1 Analyses the risks and benefits of available anaesthetic techniques for differing neuroscience procedures including TIVA, processed EEG, neurophysiological monitoring, awake testing, and the implications of patient positioning.

12.9.1 Safely manages induction and maintenance of anaesthesia by inhalational and intravenous techniques, extubation and emergence from anaesthesia.

12.9.1.1 Describes the principles of total intravenous anaesthesia and uses it safely in clinical practice for non-complex cases.

13.9.1.9 Uses total intravenous anaesthesia safely in all areas of clinical anaesthetic practice.

HiLLO7: Specialists in Intensive Care Medicine can provide pre-operative resuscitation and optimisation of patients, deliver post-operative clinical care including optimising their physiological status, provide advanced organ system support and manage their pain relief.

HiLLO 10: Intensive Care Medicine specialists will have developed the necessary skills of induction of anaesthesia, airway control, care of the unconscious patient and understanding of surgery and its physiological impact on the patient.

Relevant Review Articles

Principles of total intravenous anaesthesia: practical aspects of using total intravenous anaesthesia BJA Education BJA Education, 16(8), 2016, 276–280,

Principles of total intravenous anaesthesia: basic pharmacokinetics and model descriptions BJA Education, 16 (3), 2016, 92–97

Pharmacokinetic models for propofol—defining and illuminating the devil in the detail British Journal of Anaesthesia 103, 2009, 26-37

Absalom & Struys An Overview of TCI & TIVA 2020: ISBN: 9401462836

pEEG

https://www.bjanaesthesia.org/article/S0007-0912(23)00026-0/fulltext?utm_source=BJA+Online+–+from+Elsevier&utm_campaign=467987ebbe-BJA,+May+2023&utm_medium=email&utm_term=0_-467987ebbe-%5BLIST_EMAIL_ID%5D

Clinical EEG for anaesthesia

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573341/

National Guidance/Standards

Joint guidelines from the association of anaesthetists and the Society of Intravenous Anaesthesia: Guidelines for the safe practice of total intravenous anaesthesia (TIVA) Anaesthesia 2019, 74, 211–224

e-learning

e-Learning for anaesthesia: Module 02: Consolidating clinical practice: Maintenance of Anaesthesia: General Principles: Intravenous maintenance of anaesthesia

e-Learning for anaesthesia: Module 07c: Pharmacology: Pharmacokinetics: Pharmacokinetics of intravenous anaesthesia

e-Learning for anaesthesia: Module 04c: Paediatrics: Maintenance of Anaesthesia: TIVA principles in children