💉 Propofol-Only Anesthesia (TIVA or TIVA-S)

Total Intravenous Anesthesia (TIVA), sometimes called Propofol-Only Anesthesia, is a type of general anesthesia given entirely through an IV, without using gases or a breathing mask.

How It Works:

• You receive the anesthesia medicine propofol through an IV.

• Your CRNA may give it continuously (infusion) or in small doses (boluses).

• You’ll fall asleep quickly and wake up soon after the medication is stopped.

Benefits:

• Fast, smooth induction and recovery

• Less nausea and vomiting

• No need for inhaled gases

• Well-suited for shorter procedures or those requiring precise control

When Is It Used?

• Endoscopies (like colonoscopy or upper GI)

• Transesophageal echocardiograms (TEE)

• Outpatient or short surgeries

General Risks of TIVA:

Although TIVA is very safe, some risks include:

• Breathing slowing down or stopping (requires close monitoring)

• Drop in blood pressure

• Pain at the IV site

• Allergic reaction (rare)

• Awareness during the procedure (extremely rare)

Your CRNA will stay with you the entire time, carefully adjusting the dose and monitoring your vital signs to ensure your safety.