Understanding the Advantages

Intubated Total-IV General Anesthesia (TIVA) is a valuable medical procedure employed during various oral surgical processes. It entails the administration of intravenous anesthetic agents to induce a sleep-like state, ensuring patient comfort and safety during the operation. TIVA offers significant advantages for individuals undergoing oral surgery, providing precise control over anesthesia depth, reducing respiratory irritation by eliminating inhaled anesthetics, and being suitable for patients with underlying health conditions.


The expert anesthesia team

The administration of TIVA involves a specialized team, typically consisting of an anesthesiologist and a certified registered nurse anesthetist (CRNA). Together, they closely monitor vital functions, manage breathing, and administer pain relief, ensuring the patient remains in a state of deep sedation, free from discomfort and pain.

When TIVA is the ideal choice

The choice to employ Intubated Total-IV General Anesthesia depends on various factors, such as the type and duration of the oral surgical procedure, the patient's overall health, and their preferences. TIVA is often recommended for lengthy procedures, those requiring muscle relaxation, involving significant bleeding, or demanding substantial changes in breathing, blood pressure, or heart rate.

Considering risks and precautions

While TIVA is generally considered safe, there are potential risks and complications associated with the procedure, which depend on factors like the patient's overall health, age, and the type of oral surgery being performed. Conditions or medications that can increase the risk of complications during oral surgery include smoking, sleep apnea, obesity, high blood pressure, diabetes, stroke, seizures, allergies to medications, previous adverse reactions to anesthesia, or the use of medications that increase bleeding. It is essential for patients to disclose their medical history and medications to their healthcare provider before undergoing Intubated Total-IV General Anesthesia.

Preparation is key

Preparation for Intubated Total-IV General Anesthesia in the context of oral surgery involves adopting healthy lifestyle habits in the days or weeks leading up to the procedure. This may encompass increasing physical activity, maintaining a healthy diet, getting adequate sleep, and discontinuing tobacco use. Improved overall health before oral surgery can contribute to enhanced recovery after anesthesia and surgery.

Additionally, patients should provide comprehensive information to their healthcare provider regarding all medications they are taking, including prescription medications, over-the-counter drugs, vitamins, and supplements. Specific instructions regarding medication management will be provided by the healthcare provider or surgeon before surgery. Furthermore, patients will receive guidelines regarding when to stop eating and drinking before the procedure to ensure an empty stomach, reducing the risk of aspiration and avoiding delays or cancellations.

Induction and monitoring

In the induction phase of Intubated Total-IV General Anesthesia, anesthetic agents are administered through an intravenous line in the patient's arm. In certain cases, a mask may be employed to deliver an inhaled gas. When the medications take effect, the patient enters a sleep-like state.

Throughout the oral surgical procedure, the anesthesia team closely monitors vital signs, including heart rate, blood pressure, and oxygen levels. They adjust anesthesia medications, manage the patient's breathing, and provide additional pain relief as needed.

Post-surgery recovery

Post-surgery, the anesthesiologist or CRNA discontinues the administration of anesthesia medications, and the patient gradually awakens, typically in the operating room or recovery area. It's common for patients to experience grogginess, confusion, and side effects such as sleepiness, nausea, dry mouth, sore throat, shivering, itching, blurry vision, dizziness, or muscle aches. These side effects are assessed and managed by the anesthesia care team, with additional medications provided as necessary.

Rest assured

Intubated Total-IV General Anesthesia plays a vital role in ensuring the success of oral surgical procedures, allowing patients to undergo surgery free from discomfort and pain. A well-prepared and skilled anesthesia team, along with patient cooperation, leads to a smooth and effective experience.

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