Precision drug delivery has taken center stage in anesthetic practice with the use of Total Intravenous Anesthesia (TIVA) and Target-Controlled Infusion systems. By relying solely on intravenous agents, clinicians gain tighter control over sedation levels, reduce environmental exposure to volatile agents, and improve recovery profiles. Target-controlled infusion allows real-time dosing adjustments based on pharmacokinetic models, minimizing drug accumulation and promoting stable anesthetic depth. This approach proves especially useful in neurosurgical, pediatric, and outpatient procedures, where rapid emergence and hemodynamic stability are essential. With fewer postoperative complications such as nausea and cognitive dysfunction, TIVA offers a patient-friendly alternative. As monitoring devices and modeling algorithms become increasingly advanced, this technique continues to redefine the standards of individualized anesthetic care, blending clinical precision with safer outcomes.
Title : Microbial spectrum and histo-pathological pattern in patients with breast abscess: A 5 year retrospective study in a tertiary care rural teaching hospital in South India
Caroline Francis, Hull Royal Infirmary, United Kingdom
Title : The coincidence between spinal perineural cysts, increased intracranial pressure and the appearance of small fiber neuropathy. Exploring the relationship and (surgical) lessons to be learned
Ricky Rasschaert, AZ Rivierenland, Belgium
Title : Evolution of surgical oncology
Nagy Habib, Imperial College London, United Kingdom
Title : Improvement in general surgery handover
Amaan Akhter, Nottingham University Hospitals NHS Foundation Trust, United Kingdom
Title : Giant anterior sacral meningocele masquerading as cystic sacrococcygeal teratoma in a neonate: A diagnostic pitfall and literature review
Gamal Al Saied, Al-Azhar University, Egypt
Title : Tracheostomy-free total ventilatory support
John R Bach, Rutgers University, United States