Clara Lobo 🇵🇹🇺🇦🇪🇺
Clara Lobo 🇵🇹🇺🇦🇪🇺

@claralexlobo

4 Tweets 40 reads Jan 07, 2023
Siarhei Kastsiuchenka explaining common mistakes during #TIVA
1. Don’t mix lido or ketamine w/ propofol while using #TIVA
2. Check #TCI settings before starting the pump
3. Adjust remifentanyl to surgical stimulus level
4. Don’t use ⬆️ remifentanyl dose before/during propofol
5. Adjust dose of dexmedetomidine, specially in long cases (use application)
6. Prefer ketamine infusion compared to bolus as an analgesic to manage acute & chronic pain. Keta needs open channels to work!
7. Use the proper PK/PD model to the particular patient (namely obese)
8. Reduce target effect site when starting #TIVA in the elderly pat - start low & go slow
9. If manual bolus is used, the #TCI will not be accurate (underestimation of the total dose given)
@francisco_alobo
Armchair quarterback synd or Dunning-Krüger effect - is a type of cognitive bias that causes people to overestimate their knowledge or ability, particularly in areas with which they have little to no experience.
Teaching & education is the right way to move forward.

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