Background & Objectives: Despite approval of Target Controlled Infusion (TCI) pumps in Colombia, the use of Total Intravenous Anesthesia (TIVA) may not be finding its way in current anesthesia practice. The aim of this study was to investigate the current practice and limitations of TIVA use in Colombia. Materials & Methods: An electronic survey was designed to determine the current practice of TIVA in a random selection of 264 anesthesiologists members of SCARE. Two rounds of reminders were sent by email and to maximize the response rate non-responders were contacted by telephone by the authors. Results: A total of 141(53.4%)surveys were retrieved.The frequency ofTIVAuse was reported as always,almost always,almost never and never by 7(5.0%),52(36.9%),57(40.4%)and25(17.7%)respondents,respectively.The indications when considering the use ofTIVAincluded neurosurgery (n=66,38.3%),sedation outside the operating room(n=53,37.6%),risk of malignant hyperthermia (n=52,36.9%),history of nausea and vomiting(n=48,34%),requirement of neurophysiology monitoring(n=44,31.2%),thoracic surgery(n=31,22.0%),ENTsurgery(n=28,19.9%),and history of delirium(n=12,8.5%).Devices used for the administration of TIVA included macro-dripIVsets(n=30,21.3%),volumetric pumps(n=76,53.9%),TCIpumps(n=45,31.9%),and computer software(n=9,6.4%).One-hundred twenty (85.1%)respondents had received education in the use ofTIVAand 57(40.4%)reported availability of aTCIpump at their institution.Availability of aTCIpump andBISmonitor were considered mandatory by 85(59.6%)and104(73.8%)respondents,respectively.Perceived limitations for the use ofTIVAincluded the limited availability of depth of anesthesia monitoring(n=68,48.2%)and infusion pumps(n=52,36.9%),lack of expertise(n=41,29.1%),limited number of workshops(n=37,26.2%),increased costs(n=26,18.4%),limited availability of medications(n=23, 16.3%),fear for accidental awareness(n=22,15.6%),limited knowledge in pharmacology(n=18,12.8%),increased anesthesia time(n=13,9.2%),and perceived difficulty of the technique(n=13,9.2%). Conclusion: The use of TIVA is feasible for most anesthesiologists in Colombia, but there seems to be little agreement in the indications for its use. Although most anesthesiologists have received education in the use of TIVA, misconceptions about TIVA theory and practice added to the limited availability of technology have limited its use. Some devices used for the administration of TIVA may raise concerns about patient safety. Disclosure of Interest: None declared