What will you achieve by completing the course?
By actively participating in the programme, you are expected to acquire a solid baseline knowledge of both the theory and practical application of how to safely conduct TIVA using TCI in elective surgical patients and recognise common misconceptions and pitfalls.
- Define TIVA and TCI to your colleagues and trainees
- Explain the concept of pharmacokinetic modelling and why and how it is used in TCI systems
- Outline what “compartments” are in terms of pharmacokinetics
- Define the concept of time to peak effect
- Discuss the clinical relevance of plasma versus effect site targeting and understand how to titrate anaesthesia
- Understand the difference between anaesthesia and analgesia and define their clinical endpoints
- Understand how to use propofol and opioids together to produce optimal effects
- Understand how to administer short acting opioids, such as remifentanil, and provide postoperative analgesia
- Outline the major clinical differences between the Marsh and Schnider models and understand the limitations of these models
- Produce a safety checklist for setting up a TCI delivery system before each case
- Describe the safety features to look for when purchasing a new or using an unfamiliar syringe pump
- Discuss the advantages and limitations of using depth of anaesthesia monitoring in TIVA
- Troubleshoot common problems with pump alarms
- List common pitfalls in the delivery of TIVA