AnestICU Quick Reference vs TIVAinSight

AnestICU AnestICU is a quick-reference platform developed by an anesthesiologist, for anesthesiologists, intensivists, emergency physicians, residents, and medical students. The app brings together protocols, calculators, medication doses, tables, algorithms, and clinical tools in one place, providing quick access to information commonly used in anesthesia, critical care, and emergency medicine. Designed for real-world practice in the operating room, ICU, emergency department, and post-anesthesia care unit, AnestICU organizes content in a clear and intuitive way, helping healthcare professionals quickly find important information during patient care. Key Features • Anesthesiology and critical care protocols • Integrated clinical calculators • Arterial blood gas analysis and interpretation • Continuous infusions (BIC) • Anesthetic, vasoactive, and emergency medication dosing • Mechanical ventilation • Hemodynamic management • Cardiac arrest and perioperative emergencies • Local anesthetic systemic toxicity (LAST) • Obstetrics and obstetric anesthesia • Pediatrics and neonatal anesthesia • Neonatal resuscitation • Rapid sequence induction (RSI) • Pre-anesthetic assessment • Neuromuscular blockade monitoring with TOF • Anesthetic depth monitoring (BIS and CONOX) • Cerebral oximetry (NIRS) • Anesthesia for patients with pacemakers • Antiarrhythmic medications • Fluid therapy and transfusion medicine • Clinical scales and scores • Reference tables • Ultrasound / POCUS • Ultrasound anatomy • Ultrasound-guided peripheral nerve blocks • Regional anesthesia and perioperative medicine content Quick Reference Tools AnestICU includes calculators and tools designed to facilitate common clinical decisions and calculations, including blood gas analysis, medication dosing, continuous infusions, endotracheal tube fixation in premature infants, clinical assessment, and other applications. Content is structured to reduce the time spent searching for information across different sources, allowing quick access directly from your smartphone or tablet. Designed for Daily Practice The interface is designed for rapid clinical reference, with simple navigation and direct access to the main areas of the app. The goal is to bring frequently used information for professionals caring for surgical and critically ill patients together on a single platform. Works Offline AnestICU content remains available even without an internet connection. This makes it possible to use the app in operating rooms, ICUs, emergency departments, ambulances, hospitals, and other environments where connectivity may be limited. Continuous Updates AnestICU is continuously evolving. New protocols, calculators, algorithms, educational content, and performance improvements are regularly added to expand its usefulness in clinical practice. Disclaimer AnestICU is a clinical decision-support tool intended for healthcare professionals. It does not replace clinical judgment, institutional protocols, local guidelines, or individualized patient assessment. Diagnostic and therapeutic decisions remain the responsibility of the treating healthcare professional. Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

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