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Continuous total intravenous anesthesia is recommended for wake-up test]
Authors:M Onaka  H Yamamoto  M Akatsuka  H Mori
Affiliation:Department of Anesthesiology, Osaka Medical College, Takatsuki.
Abstract:Total intravenous anesthesia (TIVA) has been recommended in view of avoiding air pollution. However, intermittent administration of anesthetic agents has a large disadvantage of delayed emergence time. We reported that continuous TIVA with propofol, ketamine, vecuronium and buprenorphine (PKBp) could bring rapid emergence time. An 8-year old female with spinal scoliosis underwent spinal instrumentation under continuous TIVA. Wake-up test was done twice during surgery smoothly after stopping infusion of anesthetic agents in the cocktail. We conclude that continuous TIVA is one of the most recommended anesthetic methods for wake-up test.
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