Recent advancements in total intravenous anaesthesia and anaesthetic pharmacology

被引:9
作者
Bajwa, Sukhminder Singh [1 ]
Vinayagam, Stalin [2 ]
Shinde, Surekha [3 ,4 ]
Dalal, Shital [5 ]
Vennel, Jessy [6 ]
Nanda, Samridhi [7 ]
机构
[1] Gian Sagar Med Coll & Hosp, Dept Anaesthesiol & Intens Care, Patiala, Punjab, India
[2] JIPMER, Dept Anaesthesiol & Crit Care, Pondicherry, India
[3] BJ Govt Med Coll, Dept Anaesthesia, Pune, Maharashtra, India
[4] Sassoon Hosp, Pune, Maharashtra, India
[5] IGGMC, Dept Anaesthesiol, Nagpur, Maharashtra, India
[6] MGM Med Coll, Dept Anaesthesiol, Navi Mumbai, Maharashtra, India
[7] SMS Med Coll & Hosp, Dept Anaesthesia Crit Care & Pain Med, Jaipur, Rajasthan, India
关键词
Anaesthesia; pharmacokinetics; pharmacology; propofol; PROPOFOL; CHILDREN; SEDATION;
D O I
10.4103/ija.ija_1022_22
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页码:56 / 62
页数:7
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