Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro-con discussion.
Gillian R LauderMark ThomasBritta Sylvia von Ungern-SternbergThomas EngelhardtPublished in: Paediatric anaesthesia (2020)
Anesthesia for pediatric airway procedures constitutes a true art form that requires training and experience. Communication between anesthetist and surgeon to establish procedure goals is essential in determining the most appropriate anesthetic management. But does the mode of anesthesia have an impact? Traditionally, inhalational anesthesia was the most common anesthesia technique used during airway surgery. Introduction of agents used for total intravenous anesthesia (TIVA) such as propofol, short-acting opioids, midazolam, and dexmedetomidine has driven change in practice. Ongoing debates abound as to the advantages and disadvantages of volatile-based anesthesia versus TIVA. This pro-con discussion examines both volatiles and TIVA, from the perspective of effectiveness, safety, cost, and environmental impact, in an endeavor to justify which technique is the best specifically for pediatric airway procedures.
Keyphrases
- healthcare
- minimally invasive
- randomized controlled trial
- quality improvement
- pain management
- palliative care
- coronary artery disease
- public health
- chronic pain
- gas chromatography mass spectrometry
- low dose
- hiv infected
- acute coronary syndrome
- risk assessment
- young adults
- mass spectrometry
- high resolution
- human health
- gas chromatography