Re-emergence of TIVA in COVID times

Total intravenous anaesthesia (TIVA) is a technique of general anaesthesia (GA) given via intravenous route exclusively. In perspective of COVID-19, TIVA is far more advantageous than inhalational anaesthesia. It avoids the deleterious effects of immunosuppression and lacks any respiratory irritatio...

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Main Authors: Tushar Chokshi, Shivakumar Channabasappa, Davies C Vergheese, Sukhminder Jit Singh Bajwa, Bhavna Gupta, Lalit Mehdiratta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=14;spage=125;epage=131;aulast=Chokshi
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author Tushar Chokshi
Shivakumar Channabasappa
Davies C Vergheese
Sukhminder Jit Singh Bajwa
Bhavna Gupta
Lalit Mehdiratta
author_facet Tushar Chokshi
Shivakumar Channabasappa
Davies C Vergheese
Sukhminder Jit Singh Bajwa
Bhavna Gupta
Lalit Mehdiratta
author_sort Tushar Chokshi
collection DOAJ
description Total intravenous anaesthesia (TIVA) is a technique of general anaesthesia (GA) given via intravenous route exclusively. In perspective of COVID-19, TIVA is far more advantageous than inhalational anaesthesia. It avoids the deleterious effects of immunosuppression and lacks any respiratory irritation, thus providing an edge in the current situation. Many peripheral surgeries can be done with the patient breathing spontaneously without any airway device, thus avoiding airway instrumentation leading to droplet and aerosol generation. Intravenous agents can be utilized to provide sedation during regional anaesthesia (RA), which can easily be escalated to contain pain due to sparing of blocks or receding neuraxial anaesthesia. The present narrative review focuses on the merits of adopting TIVA technique during this pandemic so as to decrease the risk and morbidity arising from anaesthetizing COVID-19 patients.
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spelling doaj.art-38e3b957e117423da937c79c8e2f9e7f2022-12-21T19:26:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172020-01-01641412513110.4103/ija.IJA_554_20Re-emergence of TIVA in COVID timesTushar ChokshiShivakumar ChannabasappaDavies C VergheeseSukhminder Jit Singh BajwaBhavna GuptaLalit MehdirattaTotal intravenous anaesthesia (TIVA) is a technique of general anaesthesia (GA) given via intravenous route exclusively. In perspective of COVID-19, TIVA is far more advantageous than inhalational anaesthesia. It avoids the deleterious effects of immunosuppression and lacks any respiratory irritation, thus providing an edge in the current situation. Many peripheral surgeries can be done with the patient breathing spontaneously without any airway device, thus avoiding airway instrumentation leading to droplet and aerosol generation. Intravenous agents can be utilized to provide sedation during regional anaesthesia (RA), which can easily be escalated to contain pain due to sparing of blocks or receding neuraxial anaesthesia. The present narrative review focuses on the merits of adopting TIVA technique during this pandemic so as to decrease the risk and morbidity arising from anaesthetizing COVID-19 patients.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=14;spage=125;epage=131;aulast=Chokshianaesthesiacovid-19etomidatepropofoltotal intravenous anaesthesia
spellingShingle Tushar Chokshi
Shivakumar Channabasappa
Davies C Vergheese
Sukhminder Jit Singh Bajwa
Bhavna Gupta
Lalit Mehdiratta
Re-emergence of TIVA in COVID times
Indian Journal of Anaesthesia
anaesthesia
covid-19
etomidate
propofol
total intravenous anaesthesia
title Re-emergence of TIVA in COVID times
title_full Re-emergence of TIVA in COVID times
title_fullStr Re-emergence of TIVA in COVID times
title_full_unstemmed Re-emergence of TIVA in COVID times
title_short Re-emergence of TIVA in COVID times
title_sort re emergence of tiva in covid times
topic anaesthesia
covid-19
etomidate
propofol
total intravenous anaesthesia
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=14;spage=125;epage=131;aulast=Chokshi
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AT shivakumarchannabasappa reemergenceoftivaincovidtimes
AT daviescvergheese reemergenceoftivaincovidtimes
AT sukhminderjitsinghbajwa reemergenceoftivaincovidtimes
AT bhavnagupta reemergenceoftivaincovidtimes
AT lalitmehdiratta reemergenceoftivaincovidtimes