# Anesthesia Central vs iTIVA Anesthesia

The clearest difference is monetization model: iTIVA Anesthesia at free against Anesthesia Central's free with in-app purchases. iTIVA Anesthesia also leads on update cadence (every 3 months vs every 9 months) and review sentiment (90% vs 74%). Anesthesia Central's advantage is chart position (#194 vs unranked). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. Anesthesia Central sells 2 in-app purchases, starting at $99.99 per year and iTIVA Anesthesia sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

On the App Store both sit at effectively the same score — 4.6 for Anesthesia Central against 4.6 for iTIVA Anesthesia. Both are backed by a comparable volume of ratings — 104 and 45 respectively. Written reviews are what separate them: 74% of Anesthesia Central's written reviews are positive against 90% of iTIVA Anesthesia's.

Anesthesia Central ships an update every 9 months, iTIVA Anesthesia every 3 months. The most recent releases landed on October 17, 2026 and October 15, 2026 respectively.

## The numbers

| Metric | Anesthesia Central | iTIVA Anesthesia |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.6 (104 ratings)](https://appshunter.io/ios/app/anesthesia-central/id347656772/reviews) | [4.6 (45 ratings)](https://appshunter.io/ios/app/itiva-anesthesia/id635652167/reviews) |
| Number of ratings | **104** | 45 |
| Positive reviews | 74.4% of reviews | **90.5% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 9 months | **Every 3 months** |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#194** | — |
| Size | 9 MB | 29 MB |
| Requires iOS | 15.0 | **9.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [ANESTESIARTE CALI SAS](https://appshunter.io/developer/782878902) |

## What reviewers say

### Anesthesia Central

[App page](https://appshunter.io/ios/app/anesthesia-central/id347656772)

**Currently charting:** #194 Top Grossing · Medical (US App Store)

This app provides anesthesiologists and critical care specialists with essential information for patient care before, during, and after surgery. It includes disease, drug, test, and procedure details, along with access to the PubMed database for journal articles.

**Highlights:** Disease, drug, test, and procedure information, Access to PubMed database, MGH Clinical Anesthesia Procedures, Davis's Drug Guide, Pocket ICU Management, Pocket Guide to Diagnostic Tests, Integrated calculators

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Anesthesia Central Renewal | $99.99 | per year |
| Anesthesia Central | $169.99 | one-time |


### iTIVA Anesthesia

[App page](https://appshunter.io/ios/app/itiva-anesthesia/id635652167)

This medical simulation app models drug distribution and TCI pump behavior for intravenous anesthesia. It helps users understand pharmacokinetics and calculate infusion rates based on various mathematical and pharmacokinetic models. Designed for educational purposes, it allows for up to three drug simulations simultaneously.

**Highlights:** TCI pump simulation, Drug distribution modeling, Pharmacokinetic models, Infusion rate calculation, Up to 3 drugs simultaneously, End tidal gas calculation

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| iTiva Pro | $9.99 | one-time |


## Frequently asked questions

### Is Anesthesia Central free?

Anesthesia Central is free to download, with in-app purchases available.

### Is iTIVA Anesthesia free?

iTIVA Anesthesia is free to download, with in-app purchases available.

### Which has better reviews, Anesthesia Central or iTIVA Anesthesia?

Anesthesia Central and iTIVA Anesthesia are both rated 4.6 out of 5 on the App Store, from 104 and 45 ratings respectively.

### Do Anesthesia Central or iTIVA Anesthesia have ads?

Neither Anesthesia Central nor iTIVA Anesthesia shows ads.

### Which is updated more often, Anesthesia Central or iTIVA Anesthesia?

Anesthesia Central ships an update every 9 months, and iTIVA Anesthesia every 3 months. Most recently, Anesthesia Central was updated on October 17, 2026 and iTIVA Anesthesia on October 15, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*