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Intermediate Technical IVT

TIVA

Pronunciation: TIE-vah

Also written as: TIVA — Total Intravenous Anesthesia

Anesthetic technique using only intravenous agents without volatile anesthetics.

Full Definition

Total intravenous anesthesia is an anesthetic technique that uses only intravenous medications to provide general anesthesia, avoiding volatile anesthetic agents. In pediatric practice, TIVA typically involves propofol for maintenance, often combined with opioids and sometimes dexmedetomidine. This technique is particularly useful in patients with malignant hyperthermia susceptibility, those requiring procedures in locations without anesthesia machines, or when avoiding volatile agents is preferred. TIVA can provide smooth emergence and may reduce postoperative nausea and vomiting.

Usage

Usage note: Distinguish from MAC (monitored anesthesia care) which involves conscious sedation

In Context

  • "TIVA was selected for the pediatric patient with suspected MH susceptibility." — Anesthetic plan
  • "The propofol-based TIVA provided excellent surgical conditions for the ENT procedure." — Anesthesia record

Also known as

IV anesthesia intravenous anesthesia

Contrasted with

inhalational anesthesia balanced anesthesia

Don't confuse with

TCI (target-controlled infusion) MAC (monitored anesthesia care)

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