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- W114102009 abstract "KEY POINTS To err is human. Guidelines and Standard Operating Procedures (SOPs) can help reduce mistakes during Total Intravenous Anesthesia (TIVA). When using infusion pumps, it is essential that clinical staff know how to use them, and their limitations. Safe and effective management of continuous drug infusions depends on the understanding of the dynamics of the delivery system : • Clear labelling of intravenous syringes, connectors and valves is mandatory. Color coding or bar code checks are recommended. • Too high drug concentrations in syringes with correspondingly low infusion rates should be avoided. The higher the concentration, the higher the physical error of administration. • Sites of intravenous infusions should ideally be visible at all time, so that they can be monitored for disconnection, leaks or subcutaneous tissuing. If not visible, safe and unobstructed connections are recommended. • A non-return valve should be used on any intravenous �耀uid line, ideally with anti-syphoning for gravity infusions. • The dead space volume of �耀uid between the point at which infusions are combined and the IV cannula should be minimized. • Carrier �耀ow rate should not vary a lot and intravenous anesthetic agents are best placed as proximal as possible to the IV access. • Knowledge of the particularities of the pharmacokinetic model implemented in the TCI system is crucial, as well as the typical recommended plasma and effect site concentrations according to the type of patient, type of surgery, and anesthesia phase." @default.
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- W114102009 date "2013-01-01" @default.
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- W114102009 title "Tips and tricks to optimize total intravenous anesthesia." @default.
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