Taking on TIVA: Debunking Myths and Dispelling Misunderstandings PDF
Preview Taking on TIVA: Debunking Myths and Dispelling Misunderstandings
Taking on TIVA Taking on TIVA Debunking Myths and Dispelling Misunderstandings Edited by Michael G. Irwin UniversityofHongKong Gordon T. C. Wong UniversityofHongKong Shuk Wan Lam UniversityofHongKong UniversityPrintingHouse,CambridgeCB28BS,UnitedKingdom OneLibertyPlaza,20thFloor,NewYork,NY10006,USA 477WilliamstownRoad,PortMelbourne,VIC3207,Australia 314–321,3rdFloor,Plot3,SplendorForum,JasolaDistrictCentre,NewDelhi–110025,India 79AnsonRoad,#06–04/06,Singapore079906 CambridgeUniversityPressispartoftheUniversityofCambridge. ItfurtherstheUniversity’smissionbydisseminatingknowledgeinthepursuitof education,learning,andresearchatthehighestinternationallevelsofexcellence. www.cambridge.org Informationonthistitle:www.cambridge.org/9781316609361 DOI:10.1017/9781316659069 ©CambridgeUniversityPress2020 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithoutthewritten permissionofCambridgeUniversityPress. Firstpublished2020 PrintedintheUnitedKingdombyTJInternationalLtd,Padstow,Cornwall AcataloguerecordforthispublicationisavailablefromtheBritishLibrary. LibraryofCongressCataloging-in-PublicationData Names:Irwin,MichaelG.,editor. Title:TakingonTIVA:debunkingmythsanddispellingmisunderstandings/[editedby]MichaelIrwin,GordonWong,ShukWanLam. Description:NewYork:Cambridgeuniversitypress,2020.|Includesbibliographicalreferencesandindex. Identifiers:LCCN2019029316(print)|LCCN2019029317(ebook)|ISBN9781316609361(hardback)|ISBN9781316659069(epub) Subjects:LCSH:Intravenousanesthesia. Classification:LCCRD85.I6T352020 (print)|LCCRD85.I6 (ebook)|DDC617.9/62–dc23 LCrecordavailableathttps://lccn.loc.gov/2019029316 LCebookrecordavailableathttps://lccn.loc.gov/2019029317 ISBN978-1-316-60936-1Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceoraccuracyof URLsforexternalorthird-partyinternetwebsitesreferredtointhispublication anddoesnotguaranteethatanycontentonsuchwebsitesis,orwillremain, accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-dateinformationthatisinaccordwithaccepted standardsandpracticeatthetimeofpublication.Althoughcasehistoriesaredrawnfromactualcases,everyefforthasbeenmadeto disguisetheidentitiesoftheindividualsinvolved.Nevertheless,theauthors,editors,andpublisherscanmakenowarrantiesthatthe informationcontainedhereinistotallyfreefromerror,notleastbecauseclinicalstandardsareconstantlychangingthroughresearch andregulation.Theauthors,editors,andpublishersthereforedisclaimallliabilityfordirectorconsequentialdamagesresultingfrom theuseofmaterialcontainedinthisbook.Readersarestronglyadvisedtopaycarefulattentiontoinformationprovidedbythe manufacturerofanydrugsorequipmentthattheyplantouse. Contents ListofContributors vii Foreword ix Introduction:PowertothePeople:theRationaleofaPracticalText x 1 WhyBother?TheAdvantagesofTIVA 1 10 DoYouWantFrieswithThat?TheRoleand MichaelG.IrwinandGordonT.C.Wong EffectsofAdjuvantMedicationsinTIVA 73 VivianManYingYuen 2 YouSay‘PK’andISay‘NoWay!’;YouSay‘Keo’ andISay‘TimetoGo!’: 11 Intra-andPost-operativeAnalgesiafor PharmacokineticsforTIVA 5 TIVA 80 FrankEngbersandMichaelG.Irwin TalmageEgan,ByronBankheadandGreg Smith 3 TCIandTIVA:WhataGoodIdea! 14 MichaelG.IrwinandGavinN.C.Kenny 12 WakeyWakey!SmoothRecoveryfrom TIVA 95 4 MilkofAmnesia:PropofolforTIVA 22 PeterJ.vanderMastandAnthony KaneO.PryorandPaulS.Myles R.Absalom 5 ACatwalkwithaDifference:What 13 UnderPressure:TIVAinEmergency DistinguishesTIVAModels? 31 Surgery 106 LimThiamAun AnupBiswas,GordonT.C.Wongand 6 Let’sGetStarted:TheKnow-HowsandNo- MichaelG.Irwin HowsofSettingUpTIVA 40 14 AnkleBiters:HowtoUseTIVAin MichaelG.IrwinandGordonT.C.Wong Children 111 7 Let’sGetPumped!TheNittyGrittyofTIVA BrianAndersonandJamesHoughton SyringePumps 46 15 OldTimers:HowtoUseTIVAinthe NigelJ.Huggins Elderly 124 8 ‘ButI’mUsedtoMAC!’:HowDoIGettheDose FernandoNeira-Reina,J.LuisaOrtega- RightwithTIVA? 52 GarcíaandLuisMiguelTorres NicholasPeterSutcliffeandMichaelG. 16 BigCanBeBeautiful!HowtoUseTIVAinthe Irwin Obese 132 9 BeAware,UnawareandConfusion LuisIgnacioCortínezandBrianAnderson Everywhere:TIVAandAwareness 63 17 ABunintheOven:HowtoUseTIVAin PabloMartinez-Vazquez,ClausLindner, Obstetrics 139 UmbertoMelia,JaideepJ.PanditandErik PamelaFloodandJessicaAnsari WeberJensen v Contents 18 SavingtheWhalesbyTakingonTIVA:The 20 SkiingOff-PisteandOtherAssortedGoodies: EnvironmentalImpactofTIVA 146 AdvancedTIVA 162 VincentK.F.Kong GordonT.C.WongandMichaelG.Irwin 19 TIVADrugsforSedation 154 StefanSchraag Index 170 vi Contributors AnthonyR.Absalom,MBChB,FRCA,MD MichaelG.Irwin,MBChB,MD,FRCA,FCAI, DepartmentofAnesthesiology,Universityof FANZCA,FHKCA,FHKAM Groningen,TheNetherlands DepartmentofAnaesthesiology,Universityof HongKong,HongKong BrianAnderson,MBChB,PhD,DipObstet, FANZCA,FCICM ErikWeberJensen,PhD DepartmentofAnaesthesiology,Universityof R&DDepartmentQuantiumMedical/FreseniusKabi Auckland,NewZealand and AutomaticControlandInformatic(ESAII) Department,CentreforBiomedicalResearch(CREB) JessicaAnsari,MD UPC-Barcelonatech,SystemsPharmacologyEffect DepartmentofAnesthesiology,StanfordUniversity ControlandModeling(SPEC-M)ResearchGroup, MedicalCenter,CA,USA AnesthesiologyDepartment,HospitalClinicde Barcelona,Spain ByronBankhead,MD AcutePainService,UniversityofUtah,UT,USA GavinN.C.Kenny,MSc,MBChB,MD GlasgowUniversityDepartmentofAnaesthesia, AnupBiswas,MBBS,FRCA Glasgow,UK DepartmentofObstetric/AdultAnesthesiology,Sidra Women’sandChildren’sUniversityMedicaland VincentK.F.Kong,MBBS,MSc,PGDipEcho, ResearchCenter,Doha,Qatar FANZCA,FHKCA,FHKAM DepartmentofAnaesthesiology,GleneaglesHospital LuisIgnacioCortínez,MD HongKong,HongKong DepartmentofAnesthesiology,ClinicalHospital CatholicUniversity,Santiago,Chile ClausLindner,PhD R&DDepartment,QuantiumMedical/Fresenius TalmageEgan,MD Kabi,Barcelona,Spain DepartmentofAnesthesiology,UniversityofUtah, UT,USA PabloMartinez-Vazquez,MSc,PhD R&DDepartment,QuantiumMedical/Fresenius FrankEngbers,MD,FRCA Kabi,Barcelona,Spain LeidenUniversityMedicalCentre,TheNetherlands GermanPrimateCenter,DepartmentofCognitive PamelaFlood,MD,MA Neuroscience,Goettingen,Germany PerioperativeandPainMedicine(OB),Stanford UmbertoMelia,PhD UniversityMedicalCenter,CA,USA R&DDepartment,QuantiumMedical/Fresenius JamesHoughton,BSc,MBChB,FANZCA Kabi,Barcelona,Spain DepartmentofPaediatricAnaesthesia,Starship PaulS.Myles,MBBS,MPH,MD,DSc,FCAI,FANZCA, Children’sHospital,Auckland,NewZealand FRCA NigelJ.Huggins,FRCA DepartmentofAnaesthesiaandPerioperative DepartmentofNeuro-Anaesthesia,QueenElizabeth Medicine,AlfredHospitalandMonashUniversity, HospitalBirmingham,UK Melbourne,VIC,Australia vii ListofContributors FernandoNeira-Reina,PhD,MD PerioperativeMedicine,HamadMedical DepartmentofAnaesthesia,CádizUniversity, Corporation,Doha,Qatar Andalusia,Spain LimThiamAun,MBBS,MD,FRCA,FFARCSI,FAMM J.LuisaOrtega-García,PhD,MD DepartmentofAnaesthesiology,FacultyofMedicine DepartmentofAnaesthesia,CádizUniversity, andHealthSciences,UniversityPutra,Malaysia Andalusia,Spain LuisMiguelTorres,MD,PhD JaideepJ.Pandit,MA,BM,DPhil,FRCA,FFPMRCA, DepartmentofAnesthesia,UniversityofCádiz,Spain DM NuffieldDepartmentofAnaesthetics,Oxford PeterJ.vanderMast,MD DepartmentofAnesthesiology,Ommelander UniversityHospitalsFoundationTrust,Oxford,UK HospitalGroup,Scheemda,TheNetherlands KaneO.Pryor,MD ClinicalAnesthesia,andAcademicAffairs,Weill GordonT.C.Wong,MBBS,BSc,MD,FANZCA, FHKCA,FHKAM CornellMedicine,NewYork,NY,USA DepartmentofAnaesthesiology,HongKong StefanSchraag,MD,PhD,FRCA,FFICM University,HongKong DepartmentofAnaesthesia,GoldenJubileeNational VivianManYingYuen,MBBS,MD,FHKCA,FHKAM, Hospital,Clydebank,Glasgow,UK FANZCA GregSmith,MD DepartmentofAnaesthesiologyandPerioperative UniversityofUtah,UT,USA Medicine,HongKongChildren’sHospitalandQueen MaryHospital,HongKongUniversity,HongKong NicholasPeterSutcliffe,MD,FRCA DeputyChairman,InformationandTechnology, DepartmentofAnesthesiology,ICUand viii
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