Total Intravenous Anaesthesia (TIVA): A Safer, Cleaner, and Controlled Alternative to Inhalational Anaesthesia
What is Total Intravenous Anaesthesia (TIVA)?
TIVA is a method of inducing and maintaining anaesthesia using intravenous (IV) drugs only—no inhaled gases are used. It provides complete unconsciousness and pain relief through continuous infusion of agents like Propofol and Fentanyl.
How Does TIVA Work ?
Anaesthetic drugs are delivered through an IV line using a syringe pump or infusion system. The dose is precisely controlled to maintain the desired depth of anaesthesia. This method allows smoother induction, better control, and faster recovery compared to inhalational anaesthesia.
Advantages of TIVA
TIVA ( Total Intravenous Anaesthesia) offers several benefits:
Reduced risk of post-op nausea and vomiting
Clean air in the operating theatre (no waste gases)
Smoother emergence with less coughing or agitation
Ideal for patients with a history of inhalational anaesthesia side effects
Who is TIVA Ideal For?
TIVA is especially useful in:
Day care surgeries requiring quick recovery
Neurosurgery where stable brain conditions are essential
Patients with malignant hyperthermia risk (a reaction to gas anaesthesia)
TIVA is a Safer, Cleaner, and Controlled Alternative to Inhalational Anaesthesia like GA ( General Anaesthesia) .
Is TIVA the Future?
With increasing use of technology like target-controlled infusion (TCI), TIVA is gaining popularity. However, skilled anaesthesiologists and proper monitoring are essential to ensure safety and precision.
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