Total Intravenous Anaesthesia
N. L. Padfield (ed)
Butterworth Heinemann: Oxford, UK, 2000, 306 pp; indexed, illustrated
ISBN: 0-7506-4171-1; Price £35.00
The book provides an excellent introduction to total intravenous anaesthesia (TIVA). The editor has used a total of 15 contributors, including several leading authorities on the subject, and the text is fully referenced. As the foreword points out, the introduction of propofol has revolutionized the practice of TIVA and this is reflected in the book. Although other agents are considered, the emphasis is on the use of propofol, short-acting opioids and target-controlled infusions.
The book is split into three parts, the first of which provides a general overview of TIVA, including chapters on its history, pharmacology and basic clinical application. The chapter on pharmacokinetics manages to deal with a complex subject, reasonably, succinctly and the use of diagrams in this chapter helps considerably. The last chapter in this section, on administration of TIVA, has some particularly helpful clinical scenarios. The second part of the book deals with related issues, specifically postoperative nausea and vomiting and awareness. The bulk of the book, however, is contained in the third part and this deals with the application of TIVA to a variety of subspecialties. There are chapters devoted to its use not only in day case surgery, but also to cardiothoracic, neurosurgical, plastic/ear, nose and throat and endocrine surgery. These chapters highlight areas where the use of TIVA is becoming the technique of choice rather than a useful alternative.
In all, the editor has managed to produce a fully comprehensive but accessible text with a 'hands on' feel to it. I have few criticisms as I think this book achieves exactly what it sets out to do, i.e. to provide an excellent starting point for those wishing to familiarize themselves with the technique of TIVA. It would also serve as a useful reference book for those preparing for examinations and it certainly deserves a place in every departmental library.
M. A. M. Gillies