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...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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. |
first_indexed | 2024-12-20T20:56:29Z |
format | Article |
id | doaj.art-38e3b957e117423da937c79c8e2f9e7f |
institution | Directory Open Access Journal |
issn | 0019-5049 0976-2817 |
language | English |
last_indexed | 2024-12-20T20:56:29Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Anaesthesia |
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 |
work_keys_str_mv | AT tusharchokshi reemergenceoftivaincovidtimes AT shivakumarchannabasappa reemergenceoftivaincovidtimes AT daviescvergheese reemergenceoftivaincovidtimes AT sukhminderjitsinghbajwa reemergenceoftivaincovidtimes AT bhavnagupta reemergenceoftivaincovidtimes AT lalitmehdiratta reemergenceoftivaincovidtimes |