PDF(Pubmed)
Abstract：
Total intravenous anesthesia (TIVA) is a potential solution for safe and effective anesthesia administration in rural regions of sub-Saharan Africa, where access to inhalational anesthesia may be limited. However, challenges such as equipment and medication availability, as well as a shortage of trained anesthesiologists, can limit the use of TIVA. In this study, the safety and efficacy of TIVA were evaluated in a case series of 25 female patients undergoing thyroid surgery in a rural area of sub-Saharan Africa. The TIVA protocol involved the use of propofol, fentanyl, rocuronium, and sugammadex. Results showed that TIVA was a safe and effective method of anesthesia administration in this setting, with no major adverse events reported. The use of TIVA may offer advantages such as faster recovery times, reduced incidence of postoperative nausea and vomiting, and reduced risk of environmental pollution compared to inhalational anesthesia. However, the cost and monitoring requirements of TIVA may pose challenges in resource-limited settings. Further research is needed to determine the optimal use of TIVA in this context.
摘要：
全静脉麻醉（TIVA）是撒哈拉以南非洲农村地区安全有效的麻醉管理的潜在解决方案。吸入麻醉可能受到限制。然而,设备和药物供应等挑战，以及缺乏训练有素的麻醉师，可以限制TIVA的使用。在这项研究中,在撒哈拉以南非洲农村地区接受甲状腺手术的25例女性患者中,评估了TIVA的安全性和有效性.TIVA方案涉及使用异丙酚，芬太尼,罗库溴铵,还有sugammadex.结果表明，在这种情况下，TIVA是一种安全有效的麻醉给药方法，未报告重大不良事件。使用TIVA可以提供诸如更快的恢复时间，减少术后恶心和呕吐的发生率，与吸入麻醉相比，环境污染的风险降低。然而,在资源有限的环境中,TIVA的成本和监测要求可能会带来挑战.在这种情况下，需要进一步的研究来确定TIVA的最佳使用。
