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Anaesthesia · Intravenous agents: total intravenous anaesthesia
Sample itemWhich agent is most commonly used for TIVA with target-controlled infusion?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Propofol with remifentanil
Propofol with remifentanil allows predictable titration, rapid recovery and low PONV, and models (Marsh, Schnider) drive target-controlled infusion. TIVA is also valuable in malignant hyperthermia susceptibility.
Option by option
A. Etomidate with pethidine
Etomidate infusion suppresses adrenal function.
B. Thiopentone with morphine
Thiopentone accumulates during infusion.
C. Propofol with remifentanil (correct)
Correct. This is the standard TIVA combination.
D. Ketamine with halothane
Halothane is a volatile agent, not TIVA.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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