Application of total intravenous anesthesia (TIVA) during intraoperative neuromonitoring (IONM)

Application of total intravenous anesthesia (TIVA) during intraoperative neuromonitoring (IONM)

TIVA stands for Total Intravenous Anesthesia, which is a technique of general anesthesia (GA) giving all anesthetic drugs through an intravenous (IV) route. Intraoperative neuromonitoring (IONM) is a method of real-time evaluation of the functional integrity of neural structures used to prevent potential damage and allows to correlate surgical interventions with neurophysiological changes at a time when damage from surgical trauma can be avoided or reverted. TIVA confers many advantages over inhalational anesthesia with volatile agents and it is preferred in certain clinical cases including during IONM.