Anesthesia can be of several types, general, regional (epidural/spinal), peripheral nerve blocks, or monitored anesthesia care (MAC). The type of anesthesia administered depends on the choice of the patient, choice of the surgeon, and the type of surgery being performed. Each type of anesthesia involves a logical sequence of steps with which the practitioner needs to get familiar. This chapter will describe the basic steps involved in the administration of general anesthesia and MAC/TIVA (total intravenous anesthesia).


Administration of general anesthesia Anesthesia equipment preparation Common intraoperative problems Monitored anesthesia care Total intravenous anesthesia 

Further Reading

  1. 1.
    Bhananker SM, Posner KL, Cheney FW, Caplan RA, et al. Injury and liability associated with monitored anesthesia care. Anesthesiology. 2006;104:2.CrossRefGoogle Scholar
  2. 2.
    Bulow NM, Barbosa NV, Rocha JB. Opioid consumption in total intravenous anesthesia is reduced with dexmedetomidine: a comparative study with remifentanil in gynecologic videolaparoscopic surgery. J Clin Anesth. 2007;19:280–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Capuzzo M, Gilli G, Paparella L. Factors predictive of patient satisfaction with anesthesia. Anesth Analg. 2007;105:435–42.CrossRefPubMedGoogle Scholar
  4. 4.
    Fasting S, Gisvold SE. Serious intraoperative problems. Can J Anesthesiol. 2002;49(6):545–53.CrossRefGoogle Scholar
  5. 5.
    Ramsay MA, Luterman DL. Dexmedetomidine as a total intravenous anesthetic agent. Anesthesiology. 2004;101:787–90.CrossRefPubMedGoogle Scholar
  6. 6.
    Sandin RH, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet. 2000;355:707–11.CrossRefPubMedGoogle Scholar
  7. 7.
    Visser K, Hassink EA, Bonsel GJ, Moen J, Kalkman CJ. Randomized controlled trial of total intravenous anesthesia with propofol versus inhalation anesthesia with isoflurane-nitrous oxide: postoperative nausea with vomiting and economic analysis. Anesthesiology. 2001;95:616–26.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Anesthesia and Perioperative MedicineEmerson HospitalConcordUSA

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