TIVA

Total Intravenous Anaesthesia


What is TIVA?

Total Intravenous Anaesthesia is the induction and maintenance of an anaesthetic state using intravenous drugs rather than anaesthetic gases.

The most commonly used drugs are  Propofol (Hypnotic) and Remifentanil (Opioid). The after-effects of TIVA are much shorter lasting than gas anaesthesia due to the half-life of Propofol which also has an anti-emetic effect.1

TIVA techniques; Target Controlled infusions (TCI) are performed by the anaesthetist using a dedicated syringe pump or TCI System. These calculate the infusion rates of drugs necessary to meet the required concentration for each individual patient using algorithms within the TCI pump system.

Algorithms in the syringe pump support the Get It Right First Time Model (GIRFT) improving the patient experience and efficiency for busy operating theatres.

When compared to anaesthesia by volatile inhaled gases, TIVA/TCI can offer many advantages like: enhanced recovery after surgery with a reduction in the incidence of post-operative nausea & vomiting2   and rapid recovery of consciousness leading to quicker hospital discharge. 

SALG released recommendations for product features to support/optimise safe TIVA practice, the chart below shows how Mediplus TIVA sets meet all recommendations.

SALG GUIDELINES MEDIPLUS TIVA SETS
Non return valve on all lines YES
Use of Anti-Siphon valves YES
Use of Anti-Reflux valves YES
Kink resistant lines YES
Clear identification of each line YES

Key Features of the Mediplus TIVA Sets

  • Dedicated lines reduce the risk of leakage associated with multiple connectors and manifolds
  • Wide bore IV gravity line enables high fluid flow ensuring continuous infusion
  • Minimal dead space designed to reduce potential overdose in case of accidental bolus
  • Microbore tubing prevents kinking and line occlusion
  • Siamese tubing reduces line entanglement
  • Soft distal end to provide minimal stress at the cannula site

Patient Comfort

Soft distal end accommodates cannula movement without displacing

Cost Saving

Microbore tubing minimises post-operative

drug wastage

Wide range

Single, double, triple & quadruple infusion lines available in a range of lengths