Guidelines for the safe practice of total intravenous anaesthesia (TIVA) Joint Guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia
Guidelines for the safe practice of total intravenous anaesthesia (TIVA) Joint Guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia
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DOI：
10.1111/anae.14428
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发表时间：
2019-02-01
期刊：
影响因子：
10.7
通讯作者：
Wiles, M. D.
中科院分区：
文献类型：
--
作者：
Nimmo, A. F.;Absalom, A. R.;Wiles, M. D.
指南提出了安全的做法，在使用静脉药物输注全麻。当通过静脉输注维持全身麻醉时，这被称为全静脉麻醉。尽管全静脉麻醉对某些患者有优势，但在英国和爱尔兰，维持麻醉最常用的技术仍然是吸入挥发性麻醉剂。然而，吸入技术的使用有时是不可能的，并且在某些情况下，吸入麻醉是禁忌的。因此，所有的麻醉师都应该能够胜任和安全地进行全静脉麻醉。为简单起见，这些指南将使用术语全静脉麻醉，但也包括涉及静脉输注和吸入麻醉相结合的技术。本文件旨在作为使用全静脉麻醉时的安全实践指南，而不是在两种技术都可能的情况下对全静脉麻醉与吸入麻醉的利弊进行审查。
Guidelines are presented for safe practice in the use of intravenous drug infusions for general anaesthesia. When maintenance of general anaesthesia is by intravenous infusion, this is referred to as total intravenous anaesthesia. Although total intravenous anaesthesia has advantages for some patients, the commonest technique used for maintenance of anaesthesia in the UK and Ireland remains the administration of an inhaled volatile anaesthetic. However, the use of an inhalational technique is sometimes not possible, and in some situations, inhalational anaesthesia is contraindicated. Therefore, all anaesthetists should be able to deliver total intravenous anaesthesia competently and safely. For the purposes of simplicity, these guidelines will use the term total intravenous anaesthesia but also encompass techniques involving a combination of intravenous infusion and inhalational anaesthesia. This document is intended as a guideline for safe practice when total intravenous anaesthesia is being used, and not as a review of the pros and cons of total intravenous anaesthesia vs. inhalational anaesthesia in situations where both techniques are possible.