Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-669899f699-vbsjw Total loading time: 0 Render date: 2025-04-28T23:29:57.223Z Has data issue: false hasContentIssue false

Chapter 15 - Old Timers

How to Use TIVA in the Elderly

Published online by Cambridge University Press:  18 November 2019

By
Fernando Neira-Reina ,
J. Luisa Ortega-García  and
Luis Miguel Torres
Edited by
Michael G. Irwin ,
Gordon T. C. Wong  and
Shuk Wan Lam
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

‘Hey boss, we have a real challenging case tomorrow. She is a 94-year-old lady with carcinoma of the stomach needing a laparoscopic resection for recurrent bleeding. She could move around the house ok six months ago but has lost a lot of weight over the past few months. On a load of medications for hypertension, diabetes and has atrial fibrillation. Family said she took ages waking up from her last GA. The family reckon the last anaesthetist overdosed her but the doctor said he gave her the usual dose at one MAC. I guess you want to use TIVA… what should I read up on tonight?’

Type
Chapter
Information
Taking on TIVA
Debunking Myths and Dispelling Misunderstandings
 , pp. 124 - 131
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.)

Book purchase

Temporarily unavailable

References

Sepulveda, P.O.V., Abadia, L.L.. Total intravenous anaesthesia in geriatrics: the example of propofol. Rev Esp Anestesiol Reanim 2013; 60: 327–35.Google Scholar
Sepulveda, P., Nunez, G., Ramos, M., Recart, A.. Comparison of rapid anesthetic induction with sevoflurane vs target-controlled infusion of propofol. Rev Esp Anestesiol Reanim 2008; 55: 461–7.Google ScholarPubMed
Viviand, X., Léone, M.. Induction and maintenance of intravenous anaesthesia using target-controller infusion systems. Best Pract Res Clin Anaesthesiol 2001; 15: 19–33.Google Scholar
Agarwal, J., Puri, G.D., Mathew, P.J.. Comparison of closed loop vs. manual administration of propofol using the Bispectral index in cardiac surgery. Acta Anaesthesiol Scand 2009; 53: 390–7.Google Scholar
Zhao, Y., Zhang, L.P., Wu, X.M., et al. Clinical evaluation of target controlled infusion system for sufentanil administration. Chin Med J 2009; 122: 2503–8.Google Scholar
Sepulveda, P.O., Mora, X.. Reevaluation of the time course of the effect of propofol described with the Schnider pharmacokinetic model. Rev Esp Anestesiol Reanim 2012; 59: 542–8.Google ScholarPubMed
Absalom, A.R., Mani, V., De Smet, T., Struys, M.M.. Pharmacokinetic models for propofol: defining and illuminating the devil in the detail. Br J Anaesth 2009; 103: 26–37.CrossRefGoogle ScholarPubMed
Galeazzi, R.L., Benet, L.Z., Sheiner, L.B.. Relationship between the pharmacokinetics and pharmacodynamics of procainamide. Clin Pharmacol Ther 1976; 20: 278–89.CrossRefGoogle ScholarPubMed
Campbell, L., Engbers, F.H., Kenny, G.N.C.. Total intravenous anesthesia. CPD Anaesthesia 2001; 3: 109–19.Google Scholar
Schnider, T.W., Minto, C.F., Shafer, S.L., et al. The influence of age on propofol pharmacodynamics. Anesthesiology 1999; 90: 1502–16.CrossRefGoogle ScholarPubMed
Schuttler, J., Ihmsen, H.. Population pharmacokinetics of propofol: a multicenter study. Anesthesiology 2000; 92: 727–38.CrossRefGoogle ScholarPubMed
Minto, C.F., Schnider, T.W., Egan, T.D., et al. Influence of age and gender on the pharmacokinetics and pharmacodynamics of remifentanil. I. Model development. Anesthesiology 1997; 86: 10–23.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] 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
×