中国全凭静脉麻醉临床实践指南(2024版)

Clinical practice guidelines for total intravenous anesthesia in China(2024 edition)

全凭静脉麻醉(total intravenous anesthesia,TIVA)是全身麻醉的方法之一,已在临床上广泛应用,为进一步推动TIVA在我国的规范化应用,中华医学会麻醉学分会组织专家制定了《中国全凭静脉麻醉临床实践指南(2024版)》,经过临床问题收集与遴选、证据检索,形成推荐意见,并最终达成共识,对TIVA的适应证、禁忌证及优势,实施过程中的麻醉深度监测,静脉麻醉药药理学特点,靶控输注和非靶控输注模式下药物的选择和使用,以及特殊人群应用TIVA的注意事项等12个临床问题,形成了22条推荐意见,为临床麻醉医师规范实施TIVA提供指导。

Total intravenous anesthesia(TIVA)is one of the methods of general anesthesia and has been widely used in clinical practice.In order to further promote the standardized application of TIVA in China,the Chinese Society of Anesthesiology of the Chinese Medical Association organized experts to formulate the"Clinical practice guidelines for total intravenous anesthesia in China(2024 edition)".After the collection and selection of clinical questions,the working group conducted rigorous searches of the literature,formed recommendations,and finally reached a consensus.A total of 22 recommendations were made on 12 clinical issues,including the indications,contraindications and advantages of TIVA,the depth of anesthesia monitoring during implementation,the pharmacological characteristics of intravenous anesthetic drugs,the selection and use of drugs in target and non-target controlled infusion modes,and the precautions for the application of TIVA in special populations,thus providing guidance for anesthesiologists to standardize the implementation of TIVA.