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Abstract:
Based on the military needs for a simpler anesthetic administration system with a smaller footprint, there is a desire in all the services to use TIVA. Compared with other current (inhalational) anesthesia modes, TIVA/TCI equipment is light-weight, easily transported by a single person, and operable without external (mains) power. This makes TIVA/TCI ideally suited to both military field operations and a wide range of hospital and clinic health care organizations. This concept was strongly supported by the PLR Committee at Long Beach, CA in Jan 2009. Total intravenous anesthesia (TIVA) via target controlled infusion (TCI) use is widespread outside the United States of America. However, TIVA and TCI is not yet widely used in the USA. Due to this unfamiliarity, the purpose of this project was to produce a TIVA training curriculum on an open web site. The scope of this project included selection of a minimum set of information needed, selection of a teaching philosophy and format, producing pharmaco-kinetic graphics of plasma concentrations using simulation programs, and finally, building and implementing a web site with linear and asynchronous (just-in-time) learning formats. We produced an open Web site www.LearningTIVA.com that enables trainees to follow either a linear learning path, a just-in-time path with clinical questions, and/or a step-by-step set of instructions to run three TIVA pharmaco-kinetic simulation programs. Following the creation of the website, the major findings based on the results from the feedback, indicated a high perceived value and benefit to clinicians learning about TIVA, using this type of learning modality. An accompanying Web Blog has been created for anonymous, safe (against hackers) feedback.
| Limitations: |
 APPROVED FOR PUBLIC RELEASE |
| Description: |
Final rept. 1 Nov 2008-30 Oct 2009 |
| Pages: |
30 |
| Report Date: |
Nov 2009 |
| Contract Number: |
W81XWH-05-1-0321 W81XWH0510321 |
| Report Number: |
A852245 |
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