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Chapter 19 - TIVA Drugs for Sedation

Published online by Cambridge University Press:  18 November 2019

By
Stefan Schraag
Edited by
Michael G. Irwin ,
Gordon T. C. Wong  and
Shuk Wan Lam
Michael G. Irwin
Affiliation:
The University of Hong Kong
Gordon T. C. Wong
Affiliation:
The University of Hong Kong
Shuk Wan Lam
Affiliation:
The University of Hong Kong
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Summary

Picture this: you are the anaesthetist in charge of the endoscopy suite in your hospital and a surgeon asks you to assist with a patient who has become ‘difficult’ and is ‘uncooperative’ during a colonoscopy. He tells you that he has already given the patient the ‘usual’ sedation but it is now getting a bit out of hand. You find an elderly patient who is confused, agitated and unsettled. The ‘usual’ sedation, you discover, is an undisclosed mixture of midazolam and pethidine. You are worried about the patient’s airway, but not keen to perform tracheal intubation and ventilate this patient. So how do you resolve this mess or, better, avoid it in the first place?

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Type
Chapter
Information
Taking on TIVA
Debunking Myths and Dispelling Misunderstandings
 , pp. 154 - 161
Publisher: Cambridge University Press
Print publication year: 2019

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References

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