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A Comparison of Inhaled Anesthesia and Total Intravenous Anesthesia with Target-Controlled Infusion for Neuroanesthesia

  • Pablo O. Sepúlveda V.
  • Francisco A. Lobo
Chapter

Abstract

This chapter compares anesthetic outcomes following the administration of volatile or intravenous agents in daily neuroanesthesiology practice. We also provide state-of-art understanding of the role of intravenous anesthetics as neuroprotectants. Intravenous drugs have demonstrated to be more specific for each component in anesthesia. Target-controlled infusion (TCI) has shown more flexibility and gives more precision in the administration form of the drugs. Finally, we summarize concept of target-controlled infusion (TCI) and the most used intravenous drugs to improve the act of titration and individualizing the requirement of each patient. Combination of adequate drugs and titration are the advantage of the TIVA-TCI technique to contribute to prevent postoperative cognitive dysfunction and delirium and optimize brain homeostasis.

Keywords

Total intravenous anesthesia Bispectral index Processed EEG Remifentanil Dexmedetomidine 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Pablo O. Sepúlveda V.
    • 1
  • Francisco A. Lobo
    • 2
  1. 1.Clínica Alemana Santiago de Chile, Anesthesiology and Pain, VitacuraSantiagoChile
  2. 2.Department of AnesthesiologyICU and Peri-operative Medicine, Hamad General Hospital, Hamad Medical CorporationDohaQatar

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