Emergence agitation (EA) is an important issue in pediatric anesthesia. This phenomenon arises more frequently with the use of inhalational agents. Three commonly used general anesthesia techniques in children were evaluated as to the associated incidence of emergence reactions. An extensive literature review was performed to evaluate these anesthetic practices and the occurrence of EA in young...

Goal The aim of this paper is to conduct a comprehensive comparative analysis between five different controllers for a drug infusion system in total intravenous anesthesia (TIVA) administration. Methods The proposed method models a dilution chamber with first order exponential decay characteristics to represent the pharmacokinetic decay of a drug. The dilution chamber is integrated with five ...

For several years, total intravenous anesthesia (TIVA) has demonstrated many advantages that allow consideration of propofol anesthesia as an interesting alternative in pediatric anesthesia. TIVA in children requires calculation and validation of pharmacokinetic (PK) models specifically adapted to the pediatric population. Several PK models based on a 3-compartment approach have been proposed i...

The use of total intravenous anaesthesia (TIVA) in children has become a popular technique for the induction and maintenance of anaesthesia following the introduction of newer short-acting drugs and more elaborate delivery systems. Advances in microprocessor technology and increased complexity of pharmacokinetic modelling have further refined TIVA to target controlled infusions (TCI). TCI deliv...

BACKGROUND AND OBJECTIVES In the past, time, cost, information, training, and the evaluation of the plane of anesthesia limited the acceptance of total intravenous anesthesia (TIVA). The objective of this study was to determine the attitude of anesthesiologists and other anesthesiology residents regarding total intravenous anesthesia. METHODS A questionnaire was sent to 150 anesthesiologists ...

Total intravenous anesthesia (TIVA) can be defined as a technique, in which general anesthesia is induced and maintained using purely i.v. agents. TIVA has become more popular and possible in recent times because of the pharmacokinetic (PK) and pharmacodynamic properties of propofol and the availability of short-acting synthetic opioids. Also, new concepts in PK modeling and advances in compute...

Mehernoor Watcha, over 10 years ago, wrote an article for Current Opinion entitled ‘Intravenous anaesthesia for paediatric patients’ (1). The main focus of the article was on the agents suitable for intravenous (i.v.) anesthesia and in 10 years only one new drug has been added to the list, remifentanil. Propofol, the main feature of Watcha’s paper, still is not indicated for use in children <3 ...