# iTIVA Anesthesia Plus — user reviews > 11 indexed App Store user reviews of iTIVA Anesthesia Plus by ANESTESIARTE CALI SAS, rated 4.80/5 from 330 ratings. - Source: https://appshunter.io/ios/app/itiva-anesthesia-plus/id1442975682/reviews - App overview in markdown: https://appshunter.io/ios/app/itiva-anesthesia-plus/id1442975682.md - Rating breakdown: 5★ 290 · 4★ 23 · 3★ 6 · 2★ 5 · 1★ 6 ## Most critical reviews (10 lowest-rated) ### 1/5 — Non-intuitive frustrating app *2024-11-25, version 2.6.7* I have no idea how good or bad this thing is. I don’t want to watch hours of monotone tutorials to figure it out. I tried watching a YouTube video. My god. Horrible, Frustrating, Slow and Remi as an example. Really? I just can’t get it to start. It shouldn’t be this difficult. Input bolus and infusion time. Got that done. Now just tell me what is the current concentration and guide for target concentration and I’ll obey or not based on the EEG. Instead it’s stuck nowhere. Meaning I’m not finding the correct button to click to start the app. ### 3/5 — Please support iPad 4! *2022-02-18* Hello, I’m trying to use this app on my iPad 4th generation (iOS 10.3.3) and it doesn’t allow the installation, saying it isn’t compatible with the device. Please help! **Developer response:** Hi, finally I tried to support 10.3.3 version, but it can't be supported any more because apple policies. Sorry ### 3/5 — Handy, bu a bit clunky *2020-05-29* A restart/back to setup option is needed. **Developer response:** To restart or back to the main screen, swipe to the right to open the menu, the press back! Watch this tutorial https://www.youtube.com/watch?v=cklrk2JYIY0 ### 4/5 — pharmaco kinetic graph *2026-02-26* I am using v.2.7.2. Even after administering ketamine, the drug pharmacokinetic graph does not display. **Developer response:** Hi, please contact me to david@itiva.co, to assist you ### 4/5 — A really helpful app *2020-03-09, version 1.7* This is a great app. I use it in my practice. I appreciate that the app developer’s native language is not English, but I feel this app really needs a YouTube tutorial that is not in Spanish (the only current option). I think the program is capable of a lot, but currently it is necessary to kind of guess your way through the interface. The included “tutorial” is of some use, but a proper video walk-through of a commonly used simulation (like remi/propofol for, say, a lap chole) would be very helpful. There has a been a ton of effort placed into this program and I have subscribed because I think this is a great clinical and teaching tool. I hope the developer keeps the updates coming! ### 5/5 — Excelente *2026-04-10* Um ótimo app. ### 5/5 — Too difficult to use! *2023-08-16* This app is too difficult to Use. We wanted a real time manual Propofol infusion of 40 mcg/kg/min, a simple pump infusion, not TCI, but just a simple real time infusion, with an ability to see a decrease in BIS, as you would see in a patient on a manual Propofol infusion of 40 mcg/kg/min on the pump in real rime. This is something you might see in ICU, for a vent patient requiring mild sedation. We couldn’t even simulate this. **Developer response:** We have addressed concerns regarding user questions and doubts. iTIVA offers the capability to simulate any infusion scheme for the most commonly used IV anesthetics in various clinical settings, including the OR, ICU, and emergency department. Additionally, you have the flexibility to adjust the unit of measurement from milligrams to micrograms, and from hours to minutes, providing you with a more personalized and adaptable experience. We greatly appreciate your feedback and thank you for bringing this to our attention. Your satisfaction is of utmost importance to us, and we are committed to continually enhancing your experience with iTIVA. ----- Hello, I apologize for the inconvenience you experienced while using our app. Your feedback is valuable to us, and I'm sorry we couldn't provide the specific real-time manual Propofol infusion experience you were looking for. To assist you better, I'd like to offer a solution. Please reach out to us at david@itiva.co, and I'll be more than happy to provide you with instructional videos that explain how to simulate the exact Propofol infusion scenario you mentioned. Your satisfaction is important to us, and we're committed to ensuring that you have a smoother experience with iTIVA Plus. Thank you for bringing this to our attention, and I look forward to helping you achieve the simulation you're seeking. ### 5/5 — Extremely useful and versatile *2022-10-31, version 2.5* I have used this app for 18 months now on hundreds of cases. Nothing compares really Enables use of TCI infusions schemes even if you don’t have the pumps, with great precision. Even better than most actual pumps because: -All major pk/pd models are available, even the new general open TCI models (Eleveld for profofol and remifentanil, dexmedetomidine,…) for lots of molecules. Commercial pumps are much more limited. -Flexibility : you can combine manual boluses/perfusions and switch to TCI (or the other way around) -You can simulate 2 models for the same drug side by side to compare the models. Or just simulate different drugs on different patient types (pediatrics, obese, elderly) to refine your understanding of pharmacokinetics. -Great tool for resident teaching. Philippe Picard ### 5/5 — Nice simulator to use in the OR *2021-02-16* This app is great to simulate and guide your IV drugs in the OR **Developer response:** Thanks for your review ### 5/5 — Anderson Assumpcao *2020-07-05* 👏🏻👏🏻👏🏻 **Developer response:** Thank you for you review!! ## Most praised reviews (1 highest-rated) ### 5/5 — Great app *2019-03-01* Useful to guide my anesthesia.. now TIVA is a easy topic with this App --- *Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-09-05.*