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Der Anaesthesist
Mar, 2008;57 (3): 223-30.

[Target-controlled infusion (TCI) - a concept with a future?: state-of-the-art, treatment recommendations and a look into the future].

S Schraag, S Kreuer, J Bruhn, C Frenkel, S Albrecht
Author Information
  1. S Schraag: Department of Perioperative Medicine, Golden Jubilee National Hospital, Beardmore Street, Clydebank, Glasgow, Scotland, UK. stefanschraag@btinternet.com
PMID: 18322665 DOI: 10.1007/s00101-008-1329-7

Abstract

Over the last 10 years the technique of target-controlled infusion (TCI) has substantially influenced the development and practice of intravenous anaesthesia. It opened the possibility of many new and exciting applications of perioperative anaesthetic care. More recent and current developments, such as open TCI (target-controlled infusion) and the availability of generic anaesthetic agents combined with modern infusion pumps, means that TCI can become a standard procedure in anaesthesia and is no longer just a research tool for specialists and enthusiasts. This review explains the fundamentals and applications of intravenous drug delivery by TCI and gives practice guidelines to successfully implement the technique into clinical practice. The aim is to provide a comprehensive reference based on clinically proven evidence.

References

  1. Anaesthesia. 2007 Jul;62(7):661-6 [PMID: 17567340]
  2. Anesth Analg. 2006 Oct;103(4):902-7 [PMID: 17000801]
  3. Anaesthesia. 1998 Apr;53 Suppl 1:82-6 [PMID: 9640123]
  4. Anesthesiology. 1994 Oct;81(4):820-8; discussion 26A [PMID: 7943832]
  5. Eur J Anaesthesiol. 2003 May;20(5):363-72 [PMID: 12790207]
  6. Anesthesiology. 2001 Jul;95(1):6-17 [PMID: 11465585]
  7. Anaesthesia. 1998 Apr;53 Suppl 1:42-5 [PMID: 9640114]
  8. Br J Anaesth. 2001 Feb;86(2):183-8 [PMID: 11573657]
  9. Clin Pharmacokinet. 2004;43(9):577-93 [PMID: 15217302]
  10. Anesth Analg. 2005 Jul;101(1):125-30, table of contents [PMID: 15976218]
  11. Br J Anaesth. 2007 Jan;98(1):66-75 [PMID: 17132644]
  12. Anaesthesia. 1990 Mar;45(3):204-9 [PMID: 2334031]
  13. Anesthesiology. 2004 Mar;100(3):640-7 [PMID: 15108980]
  14. Br J Anaesth. 2003 Sep;91(3):336-40 [PMID: 12925470]
  15. Anesthesiology. 2000 Feb;92(2):399-406 [PMID: 10691226]
  16. Anesthesiology. 2004 Nov;101(5):1096-104 [PMID: 15505444]
  17. Minerva Anestesiol. 2006 Nov;72(11):915-24 [PMID: 17095989]
  18. Anaesthesist. 1998 Aug;47(8):663-8 [PMID: 9770089]
  19. Anesth Analg. 2003 Jan;96(1):33-8, table of contents [PMID: 12505919]
  20. Br J Anaesth. 2003 May;90(5):623-9 [PMID: 12697590]
  21. Br J Anaesth. 1998 Sep;81(3):365-8 [PMID: 9861121]
  22. Anesthesiology. 1994 Oct;81(4):1005-43 [PMID: 7943815]
  23. Anasthesiol Intensivmed Notfallmed Schmerzther. 2000 Jan;35(1):12-20 [PMID: 10689517]
  24. Anaesthesia. 1997 Jun;52(6):525-30 [PMID: 9203877]
  25. Anaesthesist. 2001 Dec;50(12):921-5 [PMID: 11824075]
  26. Anaesthesia. 1992 Jul;47(7):551-3 [PMID: 1626663]
  27. Anaesthesia. 2004 Feb;59(2):127-32 [PMID: 14725514]
  28. Anesthesiology. 2003 Mar;98(3):621-7 [PMID: 12606904]
  29. Eur J Anaesthesiol. 1999 Oct;16(10):678-87 [PMID: 10583350]
  30. Anesthesiology. 1997 Dec;87(6):1549-62 [PMID: 9416739]
  31. Br Dent J. 2003 Jan 11;194(1):43-5 [PMID: 12540939]
  32. Anesthesiology. 1999 Jun;90(6):1517-27 [PMID: 10360846]
  33. Anesthesiology. 2003 Aug;99(2):347-59 [PMID: 12883407]
  34. Anesthesiology. 2002 Jan;96(1):67-73 [PMID: 11753004]
  35. Anesthesiology. 1992 Jul;77(1):3-9 [PMID: 1610007]
  36. Anesth Analg. 2006 Feb;102(2):430-7 [PMID: 16428538]
  37. Anesthesiology. 1995 Jul;83(1):8-22 [PMID: 7605022]
  38. Anesthesiology. 2003 Jul;99(1):34-41 [PMID: 12826839]
  39. Anesthesiology. 2003 Feb;98(2):312-22 [PMID: 12552187]
  40. Int J Clin Monit Comput. 1992 Oct;9(3):179-82 [PMID: 1447540]

MeSH Term

Analgesics, Opioid
Anesthesia, Intravenous
Anesthetics, Intravenous
Conscious Sedation
Electroencephalography
Humans
Infusion Pumps
Monitoring, Intraoperative
Propofol

Chemicals

Analgesics, Opioid
Anesthetics, Intravenous
Propofol
English Abstract Journal Article Review

Word Cloud

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