The operating room nurse is reading the anesthesiologist's consult of a 30-year-old female patient who will undergo surgical repair of a meniscus tear later that day. The nurse reads that total intravenous anesthesia (TIVA) is indicated
What is the most likely rationale for this intervention? A) The patient has a diagnosis of chronic obstructive pulmonary disease (COPD).
B) The patient's insurer does not reimburse for inhaled anesthesia.
C) The patient has previously experienced severe postoperative nausea and vomiting.
D) The patient is in the first trimester of pregnancy.
C
Feedback:
In patients who have history of severe postoperative nausea and vomiting, the anesthetist may substitute the inhalation anesthetic with a technique called total intravenous anesthesia (TIVA). TIVA is not necessarily indicated in patients who are pregnant or who have COPD. Insurance considerations would not normally be an absolute indication for the use of TIVA.
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