TCI and TIVA: What a Good Idea!

doi:10.1017/9781316659069.005

Chapter 3 - TCI and TIVA: What a Good Idea!

Published online by Cambridge University Press: 18 November 2019

Michael G. Irwin and

Gavin N. C. Kenny

Edited by

Michael G. Irwin ,

Gordon T. C. Wong and

Shuk Wan Lam

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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

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Summary

The introduction of TCI pumps into clinical practice invoked a sense of interest, and a sense of reservation stemming from the concern of getting the dose wrong and causing awareness. I experienced the frustration of not grasping all of the intricacies of the complicated pharmacokinetics. I experienced the annoyance of delayed emergence from getting the dose wrong from both TCI and manual infusions. There was only the rare TIVA enthusiast who could explain aspects of this dark art. Therefore like a lot of my colleagues I did not bother too much with using TIVA except for neurosurgery or for those with a history of severe PONV. It just felt like too much of a nuisance for not much gain.

Type: Chapter
Information: Taking on TIVA
Debunking Myths and Dispelling Misunderstandings
, pp. 14 - 21

DOI: https://doi.org/10.1017/9781316659069.005 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2019

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