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At VIVIFY Plastic Surgery and Medspa, our dedicated team is committed to making you feel at ease from the moment you step through our doors. We pride ourselves on delivering knowledgeable and professional care, guiding you through every aspect of your cosmetic journey. The anesthesia used is an essential aspect of your comfort during any procedure.

Total Intravenous Anesthesia (TIVA)

Total intravenous anesthesia (TIVA) is an adapted form of general anesthesia that uses only intravenous medications to induce and sustain unconsciousness, pain relief, and immobility. Unlike traditional methods that require inhaled agents and the placement of a breathing tube, TIVA involves a continuous infusion of IV drugs, enabling patients to breathe independently and maintain their own airway during the procedure, all while remaining pain-free and without memory of the experience.

In contrast to conventional general anesthesia, which frequently employs inhaled anesthetic agents, TIVA is exclusively based on intravenous drug administration. This technique provides specific benefits in certain surgical situations.

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TIVA vs. Traditional General Anesthesia

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TIVA

Traditional General Anesthesia

Administration

Intravenous

Inhalation and/or intravenous
Agents

Propofol, remifentanil, opioids, muscle relaxants Isoflurane, sevoflurane, nitrous oxide, opioids, muscle relaxants
Control

Precise, titratable Less precise, influenced by ventilation
Emergence

Rapid, predictable Can be prolonged, influenced by agent elimination
Hemodynamic Stability

Often better maintained Can be more volatile
Nausea and Vomiting Lower incidence Higher incidence

TIVA Benefits

  • Precise Control: TIVA allows anesthesiologists to fine-tune the levels of anesthetic agents, helping them tailor the depth of anesthesia based on how the patient responds and the details of the surgery.
  • Rapid Emergence: Because the body processes intravenous medications quickly, patients usually wake up faster after TIVA than after traditional anesthesia methods.
  • Improved Hemodynamic Stability: TIVA is often associated with better blood pressure control and heart rate, which helps reduce the risk of unstable blood flow during surgery.
  • Lower Incidence of Nausea and Vomiting: Patients who receive TIVA usually experience less nausea and vomiting after surgery, leading to a more comfortable recovery.
  • Reduced Environmental Impact: By avoiding inhaled anesthetic gases, TIVA helps reduce the environmental impact of anesthesia.
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TIVA Limitations

Although TIVA has many benefits, it might not be the best choice for every patient or type of surgery. Important factors to consider include the length of the surgery, the patient's health, and the specific anesthesia needs. Also, TIVA may require more specialized equipment and trained professionals than traditional methods.

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Experience Modern Anesthesia at VIVIFY

TIVA is a valuable anesthesia technique that offers unique benefits compared to traditional methods, especially for specific patients and surgeries. Its precise control, quick recovery, and better stability make it an excellent choice for many. However, deciding between TIVA and traditional anesthesia should be based on a careful evaluation of each patient's needs and the specifics of the surgery. Our experienced anesthesia providers will help determine the best approach to ensure a safe experience for patients. 

Schedule an appointment today to learn more and receive a personalized consultation!

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