The toolkit

Getting the drug right — pharmacology, models and pumps — then titrating to the brain.

Start here · Fundamental pharmacological principles

Paediatric TCI Workbench

Plasma vs effect-site, ke₀, the falling TCI rate, a McFarlan stepped regimen, and three models on the same child. The workbench for the TCI and iTIVA labs.

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Practise · Self-directed

Twelve Exercises

Seven sedation and five anaesthesia scenarios on the workbench — write your prediction, run it, then reveal what you should have seen. Progress stays on your device.

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Models · Why children are different

Propofol TIVA Simulator

The adult cockpit: Marsh, Schnider and Eleveld with plasma and effect-site targeting, tissue map and BIS — the reference point the paediatric models depart from.

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Lab · Safe administration

Propofol Bolus-Speed Lab

How injection speed shapes the plasma peak while the effect-site peak barely moves — speed buys plasma risk, not hypnotic depth.

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Concept · Where the drug goes

Context-Sensitive Half-Time

Why 'half-life' misleads, and why the longer you infuse the slower the fall.

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Concept · Three compartments

The Three-Compartment Model

Blood, muscle and fat as tanks — the picture behind every number on a TCI pump.

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Go deeper · Six-level course

TCI–TIVA Learning Pathway

A guided pathway from first principles to running a full intravenous anaesthetic — the place to consolidate what you practised today.

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Coming after the Vellore workshop: the faculty panel's safe-sedation rules and the "ten things to do when you go back" list. Everything on this page is for education and intuition-building — not for clinical dosing.