Joint Guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia | First published 31 October 2018 | Anaesthesia
This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists and the Society for Intravenous Anaesthesia. It has been seen and approved by the Board of Directors of the Association of Anaesthetists and the Society for Intravenous Anaesthesia, and It has been endorsed by the Royal College of Anaesthetists,the College of Anaesthesiologists of Ireland, the Intensive Care Society, the Faculty of Intensive Care Medicine, and the Association of Paediatric Anaesthetists of Great Britain and Ireland.
Guidelines are presented for safe practice in the use of intravenous drug infusions for general anaesthesia. When maintenance of general anaesthesia is by intravenous infusion, this is referred to as total intravenous anaesthesia. Although total intravenous anaesthesia has advantages for some patients, the commonest technique used for maintenance of anaesthesia in the UK and Ireland remains the administration of an inhaled volatile anaesthetic. However, the use of an inhalational technique is sometimes not possible, and in some situations, inhalational anaesthesia is contraindicated. Therefore, all anaesthetists should be able to deliver total intravenous anaesthesia competently and safely. For the purposes of simplicity, these guidelines will use the term total intravenous anaesthesia but also encompass techniques involving a combination of intravenous infusion and inhalational anaesthesia. This document is intended as a guideline for safe practice when total intravenous anaesthesia is being used, and not as a review of the pros and cons of total intravenous anaesthesia vs. inhalational anaesthesia in situations where both techniques are possible.
Full document at Wiley.com