While cool, those pumps don't mitigate the awareness/recall risk of TIVAs. (Except perhaps for the models that incorporate direct automatic feedback from Bis.)
A big part of the TIVA risk is the difficulty in being 100% certain that the drug you think you're giving is actually getting into the patient's circulation.
Those fancy target controlled TIVA pumps won't help you if someone plugs the cefazolin bag into the line via piggyback tubing without a check valve, and the propofol from the pump starts filling the cefazolin bag instead of going into the patient.
Or if the circ RN bolts the giant ex-lap ring clamp thingy to the bed rail, pinching and severing the IV tubing, making a puddle of propofol under the drapes.
Or if the IV infiltrates.
Or if the IV luer lock connector is juuuuust loose enough to let a slow, low pressure infusion leak out, but tight enough to let enough of the high-pressure induction dose go in to get the patient off to sleep.
All of which have happened to me when running TIVAs ...
The technology solution to eliminate these risks is an end-tidal propofol monitor. I'd like to have those pumps available, they sound great for timing wakeups after prolonged infusions, but they don't solve my biggest concern with TIVAs.