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A logbook of cases experienced and procedures performed is currently required for training in anaesthesia in the UK (Nixon, 2000). But is this process valuable and what are the potential benefits and disadvantages?

Total intravenous anaesthesia (TIVA) with propofol given by repeated boluses, manual infusion or target controlled infusion is associated with a low incidence of postoperative nausea and vomiting. It is also useful in certain types of surgery, e.g. when administration of volatile anaesthetics is difficult. One reason for reluctance to use TIVA is the belief that the incidence of awareness under anaesthesia is greater than with volatile anaesthetic agents.