Count to 10 - Anaesthetic Primary Podcast

EP31 – Propofol TCI Pharmacokinetics with Dr Anthony | CT10

24 snips
Jan 12, 2025
Dr. Anthony Haidt, an esteemed primary exam examiner and anesthesia specialist, joins to explore the complexities of propofol pharmacokinetics and Target Controlled Infusion (TCI). He breaks down vital equations and utilizes analogies, like a bucket analogy, to clarify rate constants and drug compartment models. The conversation covers age and weight variations in anesthesia dosing, practical applications for clinicians, and the significance of understanding the Marsh and Eleveld models in patient safety. It’s a must-listen for anyone looking to deepen their anesthesia knowledge!
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INSIGHT

Simplified Pharmacokinetics

  • Propofol pharmacokinetics, crucial for TCI models, can be understood without complex math.
  • This simplified understanding helps apply common TCI models in clinical practice.
ADVICE

Real-time Examples

  • Use SimTIVA or a real TIVA pump to test examples in real-time.
  • This solidifies knowledge and understanding of propofol TCI concepts.
INSIGHT

Understanding V1

  • V1, the initial volume of distribution, represents the relationship between the bolus dose and the initial peak plasma concentration.
  • Different V1 values in textbooks reflect varying models, not actual physical volumes.
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