# iTIVA Anesthesia — TCI simulator > Anesthesia TCI pump simulator with pharmacokinetic models for educational use. (iPhone/iPad app by ANESTESIARTE CALI SAS.) - Source: https://appshunter.io/ios/app/itiva-anesthesia/id635652167 (this page in markdown: same URL + `.md`) - Developer: [ANESTESIARTE CALI SAS](https://appshunter.io/developer/782878902) - Category: Medical, Education - Price: Free with in-app purchases - Rating: 4.60/5 from 45 App Store ratings · 21 written reviews indexed - Age rating: 12+ - Requires: iOS 9.0 · 29 MB - Languages: American English, European Spanish - Released: 2013-04-22 - Data updated: 2026-08-23 - Monetization: free - User reviews in markdown: https://appshunter.io/ios/app/itiva-anesthesia/id635652167/reviews.md ## What is iTIVA Anesthesia? TRY IT FOR FREE, 10 USES WITHOUT TIME RESTRICTIONS! iTIVA is a simulation program that provides information about distribution of drugs based on mathematical models, and it simulate the behavior of a TCI pump (up to 3 drugs at time), obtaining infusion rates to reach and maintain a stable target effect site concentration, those schemes can be implemented in volumetric infusion pumps, and be guided with pharmacokinetics models. So now pharmacokinetics can become an easy topic and understanding what is going on during a infusion of a intravenous drug, too. Pharmacokinetic models iTIVA include 11 drugs and 40 pharmacokinetic models, that are updated continuously: -Remifentanil Adults: Minto
, Eleveld, Kim Kids: Rigby-Jones, Eleveld, Ross -Fentanyl
 Adults: Shafer, Scott
 Kids: Ginsberg, Encinas (Neonates) -Sufentanil
 Adults: Gepts, Bovill
 Kids: Greely -Alfentanil
 Adults: Maitre -Ketamine Adults: Domino, Clements-250 
 Kids: Herd, Elkomy -Procaine Adults: Seifen -Lidocaine
 Adults: Dyck, Schnider -Propofol
 Adults: Schnider, Eleveld, Marsh, Cortinez 
 Kids: Peadfusor, Kataria, Eleveld -Dexmedetomidine 
 Adults: Hannivoort, Dyck, Lin, Venn
 Kids: Potts -Midazolam
 Adults: Albrecht, Greenblatt -Tranexamic
 Adults: Grassin-Delyle Kids: Goobie, Grassun-Delyle iTIVA also calculate the end tidal (Et) for Isoflurane, Sevoflurane and Desflurane for the MAC age, with the use of the Mapleson equation. Created by David Ramirez MD, Cali - Colombia. Universidad de Valle. david@itiva.co • WARNING: iTIVA is not designed to handle intravenous drugs for individual patients. Its use is limited to educational purposes to demonstrate pharmacokinetic principles when performing intravenous anesthesia. Therefore the user assumes all risks from the use of this application for clinical purposes. Infusion schemes are obtained from concentrations based on models published in the medical literature; therefore concentrations achieved from these schemes can vary widely, in the same manner for clinical effects. This application should only be used by people with extensive knowledge in Anesthesiology. We don't collect any information about you, for more info about our privacy policy, refer to http://itiva.co/privacy.html ## Key features - TCI pump simulation - Drug distribution modeling - Pharmacokinetic models - Infusion rate calculation - Up to 3 drugs simultaneously - End tidal gas calculation ## Pricing and in-app purchases Base price: Free. **One-time purchases** | Purchase | Price | Type | | --- | --- | --- | | iTiva Pro | $9.99 | one-time | ## Recent user reviews (10 of 21) All indexed reviews: https://appshunter.io/ios/app/itiva-anesthesia/id635652167/reviews.md ### 5/5 — Excelente *2023-07-24, version 3.5* Muy buena ### 1/5 — Low class app *2022-10-24* It’s a very low class app **Developer response:** This is the first version of iTIVA, the new version is iTIVA Plus, with many new features, but some old users still prefer this version, so this is the reason why it is still available. ### 5/5 — Excelente *2020-01-31, version 3.5* Una app interactiva y práctica. Fácil de usar. Saludos ### 5/5 — Great app *2019-12-18* This a great app, it works fine, but I guess that’s a problem calculating CL2 in Eleveld 2 protocol. **Developer response:** Hi, thank you for your review, I checked your concern and the model internally is working right, but there is a problem when showing the correct CL2 in all models in the Popup window, not just for Eleveld. But for practical purposes, the App works correctly. Thank you again for your review, I will fix that issue. I suggest using the newest version, iTIVA plus ### 1/5 — It is a bad app *2019-05-08* It Doesn't delivery what they mean to do. Far of a good app Don't worth buying **Developer response:** Hi, thanks for your comments, please tell us what do you mean when you said "it doesn't delivery what they mean to do" There is a new version of this App, "iTIVA Plus". We updated this App from zero, with new drugs and functions. Please contact us: david@itiva.co ### 5/5 — Muy buena aplicación *2019-03-25, version 3.5* Profesional. Muy completa. ### 5/5 — Excellent *2018-03-29* Great and complete App still My opinion David Friendly M. ### 5/5 — Excelente *2018-03-27, version 3.4.2* Muy buen programa para administrar anestesia de forma técnica y no recurriendo al “arte”. ### 4/5 — Itiva *2018-01-26, version 3.4.2* La anterior versión era mejor, por que el propofol funcionaba de la misma forma que el remifentanyl. Ahora el propofol es manual. Por favor vuelvan a la versión anterior ### 5/5 — Excelente *2017-08-20, version 3.2* Muy útil en la práctica diaria ## Frequently asked questions about iTIVA Anesthesia ### What is iTIVA Anesthesia used for? iTIVA Anesthesia is a simulation program designed for educational purposes to demonstrate pharmacokinetic principles in intravenous anesthesia. It models drug distribution and TCI pump behavior, helping users understand infusion rates and drug effects. ### How many drugs can iTIVA Anesthesia simulate at once? iTIVA Anesthesia can simulate the behavior of up to three drugs simultaneously, allowing for complex scenarios and a better understanding of drug interactions. ### What pharmacokinetic models are included in iTIVA Anesthesia? iTIVA Anesthesia includes 11 drugs with 40 pharmacokinetic models, continuously updated. These models cover various drugs like Remifentanil, Fentanyl, Propofol, and more, for both adults and children. ### Is iTIVA Anesthesia suitable for clinical use with real patients? No, iTIVA Anesthesia is strictly for educational purposes and is not designed to handle intravenous drugs for individual patients. Users assume all risks if they attempt to use it for clinical purposes. ### What is the age rating for iTIVA Anesthesia? iTIVA Anesthesia has an age rating of 12+, making it accessible for older students and professionals in the medical field. ### How often is iTIVA Anesthesia updated? The latest version of iTIVA Anesthesia is 3.5, which was last updated on March 14, 2019. While updates have not been frequent recently, the included pharmacokinetic models are stated to be updated continuously. ### What devices support iTIVA Anesthesia? iTIVA Anesthesia is available for iPhone, iPad, and iPod, making it accessible on a range of Apple mobile devices. ### Does iTIVA Anesthesia collect user data? No, iTIVA Anesthesia does not collect any personal information about its users. The privacy policy is available at http://itiva.co/privacy.html. ## Version history (last 5 releases) ### 3.5 — 2019-03-14 - Modify patient data during a running simulation: double tap on anthropometric values - NEW PROPOFOL MODEL: Eleveld 2 / BJA - 2018 - TCI algorithm improved - Corrected minor problem with kataria model ### 3.4.2 — 2017-12-16 -Fixed a critical bug in in-App purchase -iPhone X and iOS 11 support -Fixed screen compatibility for iPhone 6S, 7S and 8S ### 3.4 — 2017-12-13 -iOS 11 and Iphone X support -Minor bugs corrected -Subscription implemented: Improved App support and frequently App Updates ### 3.2.1 — 2017-09-12 -Improved TCI algorithm: Improved precision, bolus doses are now rounded -3 new pK models added -Remifentanil's Eleveld model: A general model for children, adults and obese pts -Remifentanil's Kim model: for obese pts -Propofol's Eleveld model, for healthy pts: Better predictability for cases without opioids -KeO for Dexmedetomidine added for Hannivoort model ### 3.2 — 2017-05-08 - Improved TCI algorithm - New pK model for Dexmedetomidine,Haannivoort 2015 - Now you can reach the "effect site" target ultra fast with a loading bolus, just select "Flash" during induction or for target change - TCI models can be change on the go, in any moment, if you decide that the current model isn't performing how you expected, just tap over the model name in "Target" tab twice - iTIVA manual completed updated!! - Minor bugs fixed ## Apps similar to iTIVA Anesthesia | App | Rating | Price | Category | | --- | --- | --- | --- | | [Drug Infusions TIVA TCI Scores](https://appshunter.io/ios/app/drug-infusions-tiva-tci-scores/id6462699415) | 4.4 (13) | Free | Medical | | [MGH Clinical Anesthesia](https://appshunter.io/ios/app/mgh-clinical-anesthesia/id1604246152) | 4.5 (22) | Free | Medical | | [Anesthesiologists](https://appshunter.io/ios/app/anesthesiologists/id6451498979) | 5.0 (4) | Free | Medical | | [Statin Intolerance](https://appshunter.io/ios/app/statin-intolerance/id985805274) | 5.0 (1) | Free | Medical | | [NYSORA Ultrasound Pain](https://appshunter.io/ios/app/nysora-ultrasound-pain/id1566873583) | 4.8 (112) | Free | Medical | | [PNBschool: Anesthesia & CME](https://appshunter.io/ios/app/pnbschool-anesthesia-and-cme/id1562661245) | 5.0 (39) | Free | Medical | ## More apps by ANESTESIARTE CALI SAS - [iTIVA Anesthesia Plus](https://appshunter.io/ios/app/itiva-anesthesia-plus/id1442975682) All apps by ANESTESIARTE CALI SAS: https://appshunter.io/developer/782878902 ## Related topics [tivatrainerp-r](https://appshunter.io/ios/topics/tivatrainerp-r) · [tiva](https://appshunter.io/ios/topics/tiva) · [tivatrainerx](https://appshunter.io/ios/topics/tivatrainerx) · [tivatrainer](https://appshunter.io/ios/topics/tivatrainer) · [anesthesia infusion calculator](https://appshunter.io/ios/topics/anesthesia-infusion-calculator) --- *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 2026-08-23.*