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TIVA for Day Case — FRCA Final MCQ

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ModerateDay SurgeryTIVA for Day CaseFRCA Final

A 32-year-old woman (ASA I, 60 kg) is undergoing a diagnostic hysteroscopy as a day case. The most appropriate anaesthetic technique for rapid recovery and same-day discharge is:

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Correct answer: D — Total intravenous anaesthesia with propofol and remifentanil

TIVA with propofol and remifentanil is ideal for short day-case procedures. Both drugs have rapid offset – propofol provides smooth recovery with antiemetic properties, and remifentanil's ultra-short context-sensitive half-time ensures rapid emergence without residual opioid effect. The combination has low PONV incidence. Supplementation with paracetamol and an NSAID provides adequate post-operative analgesia for a diagnostic hysteroscopy. This technique facilitates the fastest high-quality recovery.

Reference: BADS – 2019 – Directory of procedures; RCOA – 2023 – Day surgery module