Marlis Rezende, DVM, PhD, MSc, DACVAA, discusses the common conditions she sees in practice that best utilize TIVA for pain management.
Marlis Rezende, DVM, PhD, MSc, DACVAA, an associate professor of anesthesia and analgesia at Colorado State University College of Veterinary Medicine and Biological Sciences in Fort Collins, presented and co-presented more than a dozen continuing education lectures and hands-on labs during the 2025 North American Veterinary Community (NAVC) SkillShop in Orlando, Florida. In a dvm360 interview, Rezende discussed total intravenous anesthesia (TIVA) and the common conditions she sees in practice that best utilize this method of pain management.
Marlis Rezende, DVM, PhD, MSc, DACVAA: In my practice, the most common cases that we would do on TIVA would be patients that have clinical signs or concerns for increased intracranial pressure. So [it would] be your patient that has a history of seizures and it’s coming from an MRI or a patient with traumatic brain injury that we want to image. So those would be the most common, because it comes from the fact that TIVA tends to decrease intracranial pressure, decrease cerebral blood flow, and so by doing that, using those techniques, we have one last thing to worry about. Although, you do have to still ventilate them because you choose the hyperventilate, then some of that benefit might be lost, but that is the main cases that we do…