August 27th, 2016
Department of Anaesthesiology
The University of Hong Kong
A Hands On Workshop

Learning Outcomes

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.

Learning objectives:

  • 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