Journal ArticleDOI
Total intravenous anesthesia will supercede inhalational anesthesia in pediatric anesthetic practice
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TLDR
The advantages of total intravenous anesthesia (TIVA) have emerged and driven change in practice as mentioned in this paper, and these advantages will justify why TIVA will supercede inhalational anesthesia in future pediatric anesthetic practice.Abstract:
Inhalational anesthesia has dominated the practice of pediatric anesthesia. However, as the introduction of agents such as propofol, short-acting opioids, midazolam, and dexmedetomidine a monumental change has occurred. With increasing use, the overwhelming advantages of total intravenous anesthesia (TIVA) have emerged and driven change in practice. These advantages, outlined in this review, will justify why TIVA will supercede inhalational anesthesia in future pediatric anesthetic practice.read more
Citations
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Journal ArticleDOI
Anesthetic management of 877 pediatric patients undergoing muscle biopsy for neuromuscular disorders: a 20-year review.
Frederic Shapiro,Frederic Shapiro,Umeshkumar Athiraman,Umeshkumar Athiraman,David J. Clendenin,David J. Clendenin,Monica A Hoagland,Monica A Hoagland,Navil F. Sethna,Navil F. Sethna +9 more
TL;DR: The objectives are to review the anesthetic management and anesthetic‐related adverse events in patients undergoing muscle biopsy for a broad spectrum of neuromuscular disorders (NMD).
Journal ArticleDOI
Principles of total intravenous anaesthesia: practical aspects of using total intravenous anaesthesia
Z Al-Rifai,D Mulvey +1 more
TL;DR: TIVA confers many advantages over a conventional volatile technique, particularly a better recovery profile with reduced risk of postoperative nausea and vomiting, and can facilitate intraoperative wake-up while retaining amnesia.
Journal ArticleDOI
Practicalities of Total Intravenous Anesthesia and Target-controlled Infusion in Children.
Brian J. Anderson,Oliver Bagshaw +1 more
TL;DR: The use of processed electroencephalographic monitoring is helpful in pediatric total intravenous anesthesia and target-controlled infusion anesthesia, particularly in the presence of neuromuscular blockade.
Journal ArticleDOI
Paediatric total intravenous anaesthesia
J Gaynor,J M Ansermino +1 more
TL;DR: Despite a number of obstacles, TIVA has increasingly established a significant role in surgery in or around the airway (e.g. ENT) by obtunding airway reflexes and is a mandatory technique when inhalation agents are contraindicated.
Journal ArticleDOI
A follow-up survey of total intravenous anesthesia usage in children in the U.K. and Ireland.
TL;DR: Total intravenous anesthesia usage in children remains relatively unpopular in the UK and Ireland and only 26% of Consultants used a propofol infusion at least once a month.
References
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Journal ArticleDOI
Pharmacokinetic model driven infusion of propofol in children
TL;DR: A computer controlled infusion device for propofol was used to induce and maintain general anaesthesia in 20 children undergoing minor surgical procedures and it was found that the values obtained were systematically overpredicted by the delivery system algorithm.
Journal ArticleDOI
The Influence of Method of Administration and Covariates on the Pharmacokinetics of Propofol in Adult Volunteers
Thomas W. Schnider,Charles F. Minto,Pedro L. Gambús,Corina Andresen,David B. Goodale,Steven L. Shafer,Elizabeth J. Youngs +6 more
TL;DR: It is demonstrated that method of administration (bolus vs. infusion), but not EDTA, influences the pharmacokinetics of propofol, and within the clinically relevant range, the kinetics of Propofol during infusions are linear regarding infusion rate.
Journal ArticleDOI
Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions.
TL;DR: Small-dose dexmedetomidine infusions resulted in reversible sedation, mild analgesia, and memory impairment without cardiorespiratory compromise, and these properties might prove useful in a postoperative or intensive care unit setting.