AnesPlan vs TIVAinSight

Anesthesia plans that are easier to read — and easier to hand off. This timeline-based app unifies preoperative assessment, the intraoperative anesthesia plan, and postoperative rounds into a single case, supporting how anesthesia teams plan, share, and review. ■ Complex plans, readable at a glance Build plans intuitively on a drug-by-event grid. From oxygen flow changes to the timing of analgesics and antiemetics, arrow timelines convey the "flow" that text-based plans struggle to communicate. Design AODR / AOSR / TIVA plans side by side for each case, with explicit 1st / 2nd / 3rd priorities. ■ Everything a handoff needs, in one case Allergies, preoperative labs, contraindications, airway assessment, automatic Apfel score, postoperative pain and PONV, approval status, and edit history — all stored in one case. During long procedures or intraoperative handoffs, the information you need is seconds away. ■ Resident teaching, built into daily work An approval workflow records the resident's independent plan and the post-review plan separately. Case review then auto-classifies cases into "the resident's plan stood" vs. "the attending changed the plan," so teams can review why plans changed alongside Apfel scores and procedures. An audit log keeps the editing history traceable. ■ Toward standardization and improvement Save hospital-specific plan templates and roll your institution's standard plans out to new members. Postop rounds verify plan-vs-performed agreement and record awakening, nausea, pain NRS, and complications. With PDF / ZIP case sharing, the app supports not just daily case management but handoffs, education, standardization, and the improvement cycle — in one flow. ■ Designed for peace of mind Case data is stored entirely on your device and never sent to external servers Separate passcode locks for app launch, export, template editing, and case review Start instantly, no account required Available in Japanese, English, Simplified Chinese, Spanish, and Korean Note: All calculations and content are reference information only. Final medical decisions are the responsibility of the treating physician and institution.

TIVAinSight is a PK/PD simulator that calculates and plots the plasma (Cp) and effect-site (Ce) concentrations of intravenous anesthetics and opioids given by infusion or bolus, using a three-compartment model with an effect site. It is software for the education and research of anesthesiologists, residents and other clinicians. It is not a medical device and must not be used for dosing decisions or dosing plans in actual patients. Features - Four drugs (propofol, remimazolam, remifentanil, fentanyl) and 17 PK/PD models (Marsh, Schnider, Eleveld, Kataria, Short, Paedfusor, Minto, Kim, Rigby-Jones, Shafer, Scott, Masui, Schüttler and more) - Two drugs at once, each in Manual (rate), TCI (plasma target) or ETCI (effect-site target) mode - Boluses, per-kg bolus chips and quick chips for common targets and rates - Fast-forward from x1 to x300 (the calculation always uses a 1-second step with the classical fourth-order Runge–Kutta method) - Chart with a callout that always shows the current Cp, Ce, infusion rate and total dose (can be hidden; shows the values at the cursor when you point at a time), two Y axes, drag to pan, pinch or drag the time axis to zoom time, and scale each Y axis - Settings in tabs (left panel on the wide screen of a Mac or iPad, bottom panel on iPhone), usable without scrolling on typical screen sizes; on iPhone the chart keeps its size when you switch tabs - CSDT / CSHT: predicted time for Ce to fall by a chosen percentage or to a custom target after stopping the infusion - Presentation mode (Mac and iPad): enlarged chart, readouts, chips and CSDT for projecting in lectures and talks (full screen on Mac) - mL/h dose unit: set the syringe concentration to enter and show rates in mL/h and boluses in mL - Patient presets (adult, elderly, child, infant) and body-size indices (BMI, LBM, FFM, ...) - Verification screen: runs, on this device, the same Level-1 verification as the manuscript (43 runs, 720,092 values compared with the exact matrix-exponential solution) and 24 published reference checks - References (DOI, PMID), populations and parameters for every model - CSV export; Japanese and English interface The app follows the same calculation procedure as the web version of TIVAinSight (https://msanuki.com/TIVAinSight/) and gives the same values for the same inputs. Notes - The Cp / Ce values are model-based estimates and are not guaranteed to match measured values. - Do not use it, including the TCI / ETCI displays, paediatric models and mL/h conversions, for dosing decisions or dosing plans in actual patients. Real TCI pumps use algorithms validated by their manufacturers. - All calculations stay on your device; nothing is sent anywhere. There is no account, advertising or analytics. Author: Michiyoshi Sanuki, MD, PhD (anesthesiologist) Copyright (c) Michiyoshi Sanuki, 2026